Pawnee Hillcrest Pharmacy Inc.
LBN: Pawnee Hillcrest Pharmacy Enterprises, Llc
Pawnee Hillcrest Pharmacy Inc. is an health care organization with primary practice located at 539 6Th Street , Pawnee OK 74058-2542. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Pawnee Hillcrest Pharmacy Enterprises, Llc can be contacted via phone (918) 762-3666, or through Tatum, Brooke Lynn via phone (918) 762-3666.
Contact Information
Primary practice address
539 6Th Street
Pawnee OK 74058-2542
Phone: (918) 762-3666
Fax: (918) 762-2288
Website:
Authorized official contact:
Name: Tatum, Brooke Lynn Doctor of Public Health (DPH)
Phone: (918) 762-3666
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 522742 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1003909441 |
|---|---|
| LBN Legal business name | Pawnee Hillcrest Pharmacy Enterprises, Llc |
| DBA Doing business as | Pawnee Hillcrest Pharmacy Inc. |
| Authorized official | Tatum, Brooke Lynn Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Feb 28th, 2019 - about 5 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 | 1003909441 | NPPES |
| Other | 2073056 | PK | |
| MEDICAID | 100238450A | PK |
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