Grand Care Pharmacy
LBN: Grand Care Pharmacy Inc
Grand Care Pharmacy is an health care organization with primary practice located at 2103 W Iowa Ave , Chickasha OK 73018-2737. 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 / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Grand Care Pharmacy Inc can be contacted via phone (405) 222-2273, or through Landers, Bruce via phone (940) 482-1972.
Contact Information
Primary practice address
2103 W Iowa Ave
Chickasha OK 73018-2737
Phone: (405) 222-2273
Fax: (405) 222-2546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 18-7677 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1871675124 |
|---|---|
| LBN Legal business name | Grand Care Pharmacy Inc |
| DBA Doing business as | Grand Care Pharmacy |
| Authorized official | Landers, Bruce RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 17th, 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 | 1871675124 | NPPES |
| Other | 2076449 | PK | |
| MEDICAID | 100247460A | PK | |
| MEDICAID | 100247460B | PK |
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