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
Phone: (918) 451-3784
Fax: (918) 451-2295
Website:
Authorized official contact:
Name: Pendergraft, Todd Doctor of Public Health (DPH)
Phone: (918) 451-3784
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366463432 | NPPES |
| Other | 2076303 | PK | |
| MEDICAID | 100812690B | PK |
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