Lone Grove Drug

LBN: Lone Grove Drug
Lone Grove Drug is an health care organization with primary practice located at 16662 Us Hwy 70 , Lone Grove OK 73443-1019. 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. Lone Grove Drug can be contacted via phone (580) 657-3555, or through Delano, John via phone (580) 657-3555.

Contact Information

Primary practice address
16662 Us Hwy 70 Lone Grove OK 73443-1019
Phone: (580) 657-3555
Fax: (580) 657-8259
Website:
Map and Directions
Authorized official contact:
Name: Delano, John RPH
Phone: (580) 657-3555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 123540 Oklahoma

Profile Details

NPI number 1598822934
LBN Legal business name Lone Grove Drug
DBA Doing business as Lone Grove Drug
Authorized official Delano, John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 5th, 2010 - about 15 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 1598822934 NPPES
Oklahoma MEDICAID 100236030A
Oklahoma Other 3712470

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