Raney Drug Pllc
LBN: Raney Drug Pllc
Raney Drug Pllc is an health care organization with primary practice located at 1106 Se Washington St , Idabel OK 74745-3442. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Raney Drug Pllc can be contacted via phone (580) 208-2400, or through Raney, Bradley Hulen via phone (580) 208-2400.
Contact Information
Primary practice address
1106 Se Washington St
Idabel OK 74745-3442
Phone: (580) 208-2400
Fax: (580) 208-2401
Website:
Authorized official contact:
Name: Raney, Bradley Hulen Doctor of Public Health (DPH)
Phone: (580) 208-2400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 254731 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 25-4731 | Oklahoma |
Profile Details
| NPI number | 1841388634 |
|---|---|
| LBN Legal business name | Raney Drug Pllc |
| DBA Doing business as | |
| Authorized official | Raney, Bradley Hulen Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Aug 8th, 2014 - about 10 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 | 1841388634 | NPPES |
| Oklahoma | MEDICAID | 200015850A | |
| Oklahoma | Other | 3723740 |
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