Grinnell Prescription Shop Inc
LBN: Grinnell Prescription Shop Inc
Grinnell Prescription Shop Inc is an health care organization with primary practice located at 304 S Broadway , Hobart OK 73651-1862. 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.
Grinnell Prescription Shop Inc can be contacted via phone (580) 726-5613, or through Miller, Steve via phone (580) 726-5613.
Contact Information
Primary practice address
304 S Broadway
Hobart OK 73651-1862
Phone: (580) 726-5613
Fax: (580) 726-3511
Website:
Authorized official contact:
Name: Miller, Steve Doctor of Public Health (DPH)
Phone: (580) 726-5613
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 413479 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1912063892 |
|---|---|
| LBN Legal business name | Grinnell Prescription Shop Inc |
| DBA Doing business as | Grinnell Prescription Shop Inc |
| Authorized official | Miller, Steve Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jan 7th, 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 | 1912063892 | NPPES |
| Oklahoma | MEDICAID | 100236820B | |
| Oklahoma | MEDICAID | 100236820A | |
| Oklahoma | Other | 2072808 |
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