Perkins Family Clinic Pharmacy

LBN: Iowa Tribe Of Oklahoma
Perkins Family Clinic Pharmacy is an health care organization with primary practice located at 509 E Highway 33 , Perkins OK 74059-4129. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Iowa Tribe Of Oklahoma can be contacted via phone (405) 547-2473, or through Daugherty, Angela Dawn via phone (405) 547-2473.

Contact Information

Primary practice address
509 E Highway 33 Perkins OK 74059-4129
Phone: (405) 547-2473
Fax: (405) 547-2925
Website:
Map and Directions
Authorized official contact:
Name: Daugherty, Angela Dawn
Phone: (405) 547-2473

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 8-5151 Oklahoma
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1881616456
LBN Legal business name Iowa Tribe Of Oklahoma
DBA Doing business as Perkins Family Clinic Pharmacy
Authorized official Daugherty, Angela Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 18th, 2019 - about 5 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 1881616456 NPPES
Oklahoma MEDICAID 100707800B
Oklahoma Other 2077058

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