Hominy Rexall Drug

LBN: Hominy Rexall Inc
Hominy Rexall Drug is an health care organization with primary practice located at 104 W Main St , Hominy OK 74035-1032. 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. Hominy Rexall Inc can be contacted via phone (918) 885-2715, or through Snider, John via phone (918) 885-2715.

Contact Information

Primary practice address
104 W Main St Hominy OK 74035-1032
Phone: (918) 885-2715
Fax: (918) 885-4516
Website:
Map and Directions
Authorized official contact:
Name: Snider, John
Phone: (918) 885-2715

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 162545 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1356426647
LBN Legal business name Hominy Rexall Inc
DBA Doing business as Hominy Rexall Drug
Authorized official Snider, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 2nd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356426647 NPPES
Oklahoma MEDICAID 100237360A
Oklahoma Other 2072812

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