Boomer Solutions
LBN: Guardian Pharmacy Of Oklahoma Llc
Boomer Solutions is an health care organization with primary practice located at 310 S 1St St , Eufaula OK 74432-3202. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Guardian Pharmacy Of Oklahoma Llc can be contacted via phone (877) 774-3706, or through Simmons, Kyle via phone (877) 774-3706.
Contact Information
Primary practice address
310 S 1St St
Eufaula OK 74432-3202
Phone: (877) 774-3706
Fax: (888) 852-2946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 487429 | Oklahoma |
Profile Details
| NPI number | 1083084768 |
|---|---|
| LBN Legal business name | Guardian Pharmacy Of Oklahoma Llc |
| DBA Doing business as | Boomer Solutions |
| Authorized official | Simmons, Kyle |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2015 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1083084768 | NPPES |
| Oklahoma | MEDICAID | 200611770A | |
| Oklahoma | Other | 2154687 |
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