Clinic Pharmacy
LBN: Picketts Clinic Pharmacy Inc
Clinic Pharmacy is an health care organization with primary practice located at 205 S Park Ln Ste 110, Altus OK 73521-5755. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Picketts Clinic Pharmacy Inc can be contacted via phone (580) 482-6464, or through Pickett, David via phone (580) 482-6464.
Contact Information
Primary practice address
205 S Park Ln Ste 110
Altus OK 73521-5755
Phone: (580) 482-6464
Fax: (580) 480-3114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 174101 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1356370175 |
|---|---|
| LBN Legal business name | Picketts Clinic Pharmacy Inc |
| DBA Doing business as | Clinic Pharmacy |
| Authorized official | Pickett, David RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | May 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 | 1356370175 | NPPES |
| Other | 2073948 | PK | |
| MEDICAID | 100238530A | PK |
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