Frederick Pharmacy Inc
LBN: Frederick Pharmacy Inc
Frederick Pharmacy Inc is an health care organization with primary practice located at 1600 N Main St , Frederick OK 73542-1419. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Frederick Pharmacy Inc can be contacted via phone (580) 335-5501, or through Kelly, Shane via phone (580) 335-5501.
Contact Information
Primary practice address
1600 N Main St
Frederick OK 73542-1419
Phone: (580) 335-5501
Fax: (580) 335-7253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 424719 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982778379 |
|---|---|
| LBN Legal business name | Frederick Pharmacy Inc |
| DBA Doing business as | Frederick Pharmacy Inc |
| Authorized official | Kelly, Shane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Oct 14th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982778379 | NPPES |
| Oklahoma | MEDICAID | 200015150A | |
| Oklahoma | Other | 3711012 |
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