Medic Pharmacy And Gifts

LBN: Kingfisher Pharmacy Management Pllc
Medic Pharmacy And Gifts is an health care organization with primary practice located at 119 W Admire Ave , Kingfisher OK 73750-2609. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kingfisher Pharmacy Management Pllc can be contacted via phone (405) 375-3202, or through Huenergardt, Gregory via phone (580) 938-2854.

Contact Information

Primary practice address
119 W Admire Ave Kingfisher OK 73750-2609
Fax: (405) 375-6739
Website:
Authorized official contact:
Name: Huenergardt, Gregory

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54-5617 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1174827273
LBN Legal business name Kingfisher Pharmacy Management Pllc
DBA Doing business as Medic Pharmacy And Gifts
Authorized official Huenergardt, Gregory
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2011
Last updated Jan 20th, 2015 - about 9 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 1174827273 NPPES
Oklahoma MEDICAID 200323020A
Oklahoma Other 2128250

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