Bennett'S Route 66 Pharmacy
LBN: Green Country Rx Llc
Bennett'S Route 66 Pharmacy is an health care organization with primary practice located at 700 N Lynn Riggs Blvd , Claremore OK 74017-5623. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Green Country Rx Llc can be contacted via phone (918) 342-8050, or through Bennett, Jared via phone (918) 406-6703.
Contact Information
Primary practice address
700 N Lynn Riggs Blvd
Claremore OK 74017-5623
Phone: (918) 342-8050
Fax: (918) 342-8099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 29-6213 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1154664191 |
|---|---|
| LBN Legal business name | Green Country Rx Llc |
| DBA Doing business as | Bennett'S Route 66 Pharmacy |
| Authorized official | Bennett, Jared |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2013 |
| Last updated | Jan 5th, 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 | 1154664191 | NPPES |
| Other | 2139596 | PK | |
| MEDICAID | 200486060A | PK |
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