Kens Healthmart Pharmacy Llc

LBN: Ken'S Healthmart Llc
Kens Healthmart Pharmacy Llc is an health care organization with primary practice located at 200 S Highland Ave , Cushing OK 74023-4117. 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. Ken'S Healthmart Llc can be contacted via phone (918) 225-5200, or through Hibbard, Ken via phone (918) 225-5200.

Contact Information

Primary practice address
200 S Highland Ave Cushing OK 74023-4117
Phone: (918) 225-5200
Fax: (918) 225-0828
Website:
Map and Directions
Authorized official contact:
Name: Hibbard, Ken RPH
Phone: (918) 225-5200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8-2834 Oklahoma

Profile Details

NPI number 1902999345
LBN Legal business name Ken'S Healthmart Llc
DBA Doing business as Kens Healthmart Pharmacy Llc
Authorized official Hibbard, Ken RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Jan 13th, 2016 - about 8 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 1902999345 NPPES
Other 2073600 PK
MEDICAID 100235560A PK

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