Mannford Pharmacy Llc

LBN: Mannford Pharmacy Llc
Mannford Pharmacy Llc is an health care organization with primary practice located at 231 W Trower Blvd , Mannford OK 74044. 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. Mannford Pharmacy Llc can be contacted via phone (918) 865-7400, or through Tilley, Kimberly Joanna via phone (918) 865-7400.

Contact Information

Primary practice address
231 W Trower Blvd Mannford OK 74044
Phone: (918) 865-7400
Fax: (918) 865-7411
Website:
Map and Directions
Authorized official contact:
Name: Tilley, Kimberly Joanna Doctor of Public Health (DPH)
Phone: (918) 865-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 11-8083 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295241867
LBN Legal business name Mannford Pharmacy Llc
DBA Doing business as
Authorized official Tilley, Kimberly Joanna Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2017
Last updated Dec 7th, 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 1295241867 NPPES
Oklahoma MEDICAID 200750500A

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