Broken Arrow Family Drug

LBN: Gfj Inc
Broken Arrow Family Drug is an health care organization with primary practice located at 3359 S Elm Pl , Broken Arrow OK 74012-7924. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gfj Inc can be contacted via phone (918) 451-3784, or through Pendergraft, Todd via phone (918) 451-3784.

Contact Information

Primary practice address
3359 S Elm Pl Broken Arrow OK 74012-7924
Fax: (918) 451-2295
Website:
Authorized official contact:
Name: Pendergraft, Todd Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 25344 Oklahoma

Profile Details

NPI number 1366463432
LBN Legal business name Gfj Inc
DBA Doing business as Broken Arrow Family Drug
Authorized official Pendergraft, Todd Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Jan 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366463432 NPPES
Other 2076303 PK
MEDICAID 100812690B PK

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