Patriot Pharmacy
LBN: Patriot Pharmacies Llc
Patriot Pharmacy is an health care organization with primary practice located at 329 S Elm St Ste 130 , Jenks OK 74037-3777. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Patriot Pharmacies Llc can be contacted via phone (918) 298-4153, or through O'Rourke, David via phone (918) 298-4153.
Contact Information
Primary practice address
329 S Elm St Ste 130
Jenks OK 74037-3777
Phone: (918) 298-4153
Fax: (918) 298-4272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-7611 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1073952354 |
|---|---|
| LBN Legal business name | Patriot Pharmacies Llc |
| DBA Doing business as | Patriot Pharmacy |
| Authorized official | O'Rourke, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2013 |
| Last updated | Mar 9th, 2017 - about 7 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 | 1073952354 | NPPES |
| Other | 2159913 | PK | |
| MEDICAID | 200662580A | PK |
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