Olympia Pharmacy
LBN: Olympia Pharmacy Llc
Olympia Pharmacy is an health care organization with primary practice located at 6802 S Olympia Ave Ste 125, Tulsa OK 74132-1823. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Olympia Pharmacy Llc can be contacted via phone (918) 398-6279, or through Crismon, Shawn via phone (918) 388-5713.
Contact Information
Primary practice address
6802 S Olympia Ave Ste 125
Tulsa OK 74132-1823
Phone: (918) 398-6279
Fax:
Website:
Authorized official contact:
Name: Crismon, Shawn Doctor of Public Health (DPH)
Phone: (918) 388-5713
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 25302 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1003076738 |
|---|---|
| LBN Legal business name | Olympia Pharmacy Llc |
| DBA Doing business as | Olympia Pharmacy |
| Authorized official | Crismon, Shawn Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2008 |
| Last updated | Feb 20th, 2013 - about 11 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 | 1003076738 | NPPES |
| Other | 3725225 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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