Heritage Pharmacy
LBN: Heritage Pharmacy Llc
Heritage Pharmacy is an health care organization with primary practice located at 1309 S Main St , Kingfisher OK 73750-4402. 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.
Heritage Pharmacy Llc can be contacted via phone (405) 375-6300, or through Satchell, Dennis via phone (405) 368-6805.
Contact Information
Primary practice address
1309 S Main St
Kingfisher OK 73750-4402
Phone: (405) 375-6300
Fax: (405) 375-6340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 54-5587 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982919130 |
|---|---|
| LBN Legal business name | Heritage Pharmacy Llc |
| DBA Doing business as | Heritage Pharmacy |
| Authorized official | Satchell, Dennis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2010 |
| Last updated | Jan 14th, 2015 - about 9 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 | 1982919130 | NPPES |
| Oklahoma | MEDICAID | 100235150A | |
| Oklahoma | Other | 2126196 |
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