Rexco Drug & Gifts

LBN: Keenum Pharmacy, Llc
Rexco Drug & Gifts is an health care organization with primary practice located at 2101 N Main St , Altus OK 73521-1605. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Keenum Pharmacy, Llc can be contacted via phone (580) 477-0381, or through Keenum, Kyle via phone (580) 477-0381.

Contact Information

Primary practice address
2101 N Main St Altus OK 73521-1605
Phone: (580) 477-0381
Fax: (580) 477-1749
Website:
Map and Directions
Authorized official contact:
Name: Keenum, Kyle
Phone: (580) 477-0381

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1053924969
LBN Legal business name Keenum Pharmacy, Llc
DBA Doing business as Rexco Drug & Gifts
Authorized official Keenum, Kyle
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2020
Last updated Oct 11th, 2021 - 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 1053924969 NPPES
Oklahoma MEDICAID 200956270A

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