Northrock Pharmacy

LBN: Northrock Pharmacy Llc
Northrock Pharmacy is an health care organization with primary practice located at 2617 General Pershing Blvd , Oklahoma City OK 73107-6437. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Northrock Pharmacy Llc can be contacted via phone (405) 858-1780, or through Todd, Virgil via phone (405) 858-2992.

Contact Information

Primary practice address
2617 General Pershing Blvd Oklahoma City OK 73107-6437
Fax: (405) 858-1781
Website:
Authorized official contact:
Name: Todd, Virgil

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 1-7681 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1487109518
LBN Legal business name Northrock Pharmacy Llc
DBA Doing business as Northrock Pharmacy
Authorized official Todd, Virgil
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2016
Last updated Apr 4th, 2023 - about last year

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 1487109518 NPPES
Other 2163688 PK
MEDICAID 200000020B PK

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