Greens Prescription Center

LBN: Miranda Green
Greens Prescription Center is an health care organization with primary practice located at 101 W Avenue D , Heavener OK 74937-3017. 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. Miranda Green can be contacted via phone (918) 653-4803, or through Green, Miranda via phone (918) 653-4803.

Contact Information

Primary practice address
101 W Avenue D Heavener OK 74937-3017
Phone: (918) 653-4803
Fax: (918) 653-3520
Website:
Map and Directions
Authorized official contact:
Name: Green, Miranda PD
Phone: (918) 653-4803

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 19-5501 Oklahoma

Profile Details

NPI number 1760523625
LBN Legal business name Miranda Green
DBA Doing business as Greens Prescription Center
Authorized official Green, Miranda PD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 18th, 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 1760523625 NPPES
Oklahoma MEDICAID 100234100
Oklahoma Other 2072800

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