Jims Tower Pharmacy

LBN: Jims Tower Pharmacy Inc
Jims Tower Pharmacy is an health care organization with primary practice located at 1024 Sw 44Th St Ste 700 , Oklahoma City OK 73109-3618. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jims Tower Pharmacy Inc can be contacted via phone (405) 631-9625, or through Brakebill, Jim via phone (405) 631-9625.

Contact Information

Primary practice address
1024 Sw 44Th St Ste 700 Oklahoma City OK 73109-3618
Phone: (405) 631-9625
Fax: (405) 632-5268
Website:
Map and Directions
Authorized official contact:
Name: Brakebill, Jim
Phone: (405) 631-9625

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 12583 Oklahoma

Profile Details

NPI number 1700922317
LBN Legal business name Jims Tower Pharmacy Inc
DBA Doing business as Jims Tower Pharmacy
Authorized official Brakebill, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 12th, 2022 - about 3 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 1700922317 NPPES
Other 2074120 PK
MEDICAID 100237530A PK

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