United Discount Pharmacy
LBN: Matt Ennis Llc
United Discount Pharmacy is an health care organization with primary practice located at 5420 N Portland Ave , Oklahoma City OK 73112-2072. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Matt Ennis Llc can be contacted via phone (405) 947-6828, or through Ennis, Sean via phone (405) 947-6828.
Contact Information
Primary practice address
5420 N Portland Ave
Oklahoma City OK 73112-2072
Phone: (405) 947-6828
Fax: (405) 946-3346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1326458563 |
|---|---|
| LBN Legal business name | Matt Ennis Llc |
| DBA Doing business as | United Discount Pharmacy |
| Authorized official | Ennis, Sean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2014 |
| Last updated | May 24th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326458563 | NPPES |
| Oklahoma | MEDICAID | 200536450A | |
| Oklahoma | Other | 2145853 |
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