Sallisaw Pharmacy

LBN: Sallisaw Pharmacy Inc
Sallisaw Pharmacy is an health care organization with primary practice located at 1212A E Cherokee , Sallisaw OK 74955-5231. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sallisaw Pharmacy Inc can be contacted via phone (918) 775-4451, or through Risley, Jimmy via phone (918) 775-4451.

Contact Information

Primary practice address
1212A E Cherokee Sallisaw OK 74955-5231
Phone: (918) 775-4451
Fax: (918) 775-5269
Website:
Map and Directions
Authorized official contact:
Name: Risley, Jimmy Doctor of Public Health (DPH)
Phone: (918) 775-4451

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 34-3071 Oklahoma

Profile Details

NPI number 1730108770
LBN Legal business name Sallisaw Pharmacy Inc
DBA Doing business as Sallisaw Pharmacy
Authorized official Risley, Jimmy Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 16th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730108770 NPPES
Oklahoma MEDICAID 100237570A
Oklahoma Other 2073858

Popular Providers