Heritage Pharmacy

LBN: Rjrx3 Llc
Heritage Pharmacy is an health care organization with primary practice located at 1309 S Main St , Kingfisher OK 73750-4402. 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. Rjrx3 Llc can be contacted via phone (405) 375-6300, or through Ritter, Ryan via phone (580) 889-3353.

Contact Information

Primary practice address
1309 S Main St Kingfisher OK 73750-4402
Phone: (405) 375-6300
Fax: (405) 375-6340
Website:
Map and Directions
Authorized official contact:
Name: Ritter, Ryan
Phone: (580) 889-3353

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54-8007 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962914622
LBN Legal business name Rjrx3 Llc
DBA Doing business as Heritage Pharmacy
Authorized official Ritter, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2017
Last updated Nov 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962914622 NPPES
Oklahoma MEDICAID 200740440B
Oklahoma MEDICAID 20074044A
Oklahoma Other 2172251

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