Lakeside Pharmacy
LBN: Hyperion Llc
Lakeside Pharmacy is an health care organization with primary practice located at 605 N Main St , Eufaula OK 74432-1634. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Hyperion Llc can be contacted via phone (918) 689-9940, or through Tidwell, Darren via phone (918) 689-9940.
Contact Information
Primary practice address
605 N Main St
Eufaula OK 74432-1634
Phone: (918) 689-9940
Fax: (918) 689-7557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 48-5526 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1295867612 |
|---|---|
| LBN Legal business name | Hyperion Llc |
| DBA Doing business as | Lakeside Pharmacy |
| Authorized official | Tidwell, Darren |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 27th, 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 | 1295867612 | NPPES |
| Oklahoma | MEDICAID | 200287060A | |
| Oklahoma | Other | 2125414 |
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