Red Rock Pharmacy

LBN: Red Rock Pharmacy, Llc
Red Rock Pharmacy is an health care organization with primary practice located at 4400 N Lincoln Blvd , Oklahoma City OK 73105-5104. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Red Rock Pharmacy, Llc can be contacted via phone (405) 425-0384, or through Todd, Virgil via phone (405) 858-2992.

Contact Information

Primary practice address
4400 N Lincoln Blvd Oklahoma City OK 73105-5104
Fax: (405) 424-4962
Website:
Authorized official contact:
Name: Todd, Virgil

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X 14662 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1568501518
LBN Legal business name Red Rock Pharmacy, Llc
DBA Doing business as Red Rock Pharmacy
Authorized official Todd, Virgil
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Apr 3rd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568501518 NPPES
Other 2076453 PK
MEDICAID 200000020A PK

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