Gaddys Discount Drug
LBN: Gaddy Discount Drug Inc
Gaddys Discount Drug is an health care organization with primary practice located at 1126 W Broadway St , Muskogee OK 74401-6246. 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.
Gaddy Discount Drug Inc can be contacted via phone (918) 682-5584, or through Carter, Dave via phone (918) 628-5584.
Contact Information
Primary practice address
1126 W Broadway St
Muskogee OK 74401-6246
Phone: (918) 682-5584
Fax: (918) 682-5585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4-5023 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1508882143 |
|---|---|
| LBN Legal business name | Gaddy Discount Drug Inc |
| DBA Doing business as | Gaddys Discount Drug |
| Authorized official | Carter, Dave |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 8th, 2021 - about 3 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 | 1508882143 | NPPES |
| Other | 2073505 | PK | |
| MEDICAID | 100232790A | PK | |
| MEDICAID | 100232790B | PK |
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