Osu University Health Services Pharmacy

LBN: Oklahoma State University
Osu University Health Services Pharmacy is an health care organization with primary practice located at 1202 W Farm Rd , Stillwater OK 74078-2036. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Student Health, Suppliers / Pharmacy. Ambulatory Health Care Facilities / Student Health is the primary health care specialty. Oklahoma State University can be contacted via phone (405) 744-7665, or through Henneha, Jack via phone (405) 744-7665.

Contact Information

Primary practice address
1202 W Farm Rd Stillwater OK 74078-2036
Fax: (405) 744-2136
Website:
Authorized official contact:
Name: Henneha, Jack

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X 8-3015 Oklahoma
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1598827776
LBN Legal business name Oklahoma State University
DBA Doing business as Osu University Health Services Pharmacy
Authorized official Henneha, Jack
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jan 25th, 2022 - about 2 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 1598827776 NPPES
Oklahoma Other 736017987 FEDERAL TAX ID
Oklahoma MEDICAID 100757330F FEDERAL TAX ID

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