Clinic Pharmacy

LBN: Guymon Clinic Pharmacy Llc
Clinic Pharmacy is an health care organization with primary practice located at 1210 N Lelia St , Guymon OK 73942-3647. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Guymon Clinic Pharmacy Llc can be contacted via phone (580) 338-3339, or through Oblander, Chet via phone (580) 338-3339.

Contact Information

Primary practice address
1210 N Lelia St Guymon OK 73942-3647
Fax: (580) 338-1010
Website:
Authorized official contact:
Name: Oblander, Chet

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 435014 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1508945486
LBN Legal business name Guymon Clinic Pharmacy Llc
DBA Doing business as Clinic Pharmacy
Authorized official Oblander, Chet
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated May 24th, 2024 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508945486 NPPES
Oklahoma MEDICAID 100241140A
Oklahoma Other 2081576

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