Idabel Express Pharmacy
LBN: Idabel Express Pharmacy, Llc
Idabel Express Pharmacy is an health care organization with primary practice located at 810 Se Washington St , Idabel OK 74745-3332. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Idabel Express Pharmacy, Llc can be contacted via phone (580) 245-6169, or through Ritter, Susan Ann via phone (580) 889-1283.
Contact Information
Primary practice address
810 Se Washington St
Idabel OK 74745-3332
Phone: (580) 245-6169
Fax: (580) 208-2372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1962053843 |
|---|---|
| LBN Legal business name | Idabel Express Pharmacy, Llc |
| DBA Doing business as | Idabel Express Pharmacy |
| Authorized official | Ritter, Susan Ann |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Feb 4th, 2020 - about 4 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 | 1962053843 | NPPES |
| Oklahoma | MEDICAID | 200875410A |
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