Henryetta Drug
LBN: Henryetta Drug Llc
Henryetta Drug is an health care organization with primary practice located at 623 W Main St , Henryetta OK 74437-4245. 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.
Henryetta Drug Llc can be contacted via phone (918) 652-3361, or through Ritter, Ryan Jay via phone (580) 889-0230.
Contact Information
Primary practice address
623 W Main St
Henryetta OK 74437-4245
Phone: (918) 652-3361
Fax: (918) 652-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1629602651 |
|---|---|
| LBN Legal business name | Henryetta Drug Llc |
| DBA Doing business as | Henryetta Drug |
| Authorized official | Ritter, Ryan Jay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2020 |
| Last updated | Nov 8th, 2021 - about 3 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 | 1629602651 | NPPES |
| Oklahoma | MEDICAID | 200900400A |
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