Sequoyah County Drug Company Pllc

LBN: Sequoyah County Drug Company Pllc
Sequoyah County Drug Company Pllc is an health care organization with primary practice located at 1632 S Kerr Blvd , Sallisaw OK 74955. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sequoyah County Drug Company Pllc can be contacted via phone (918) 774-0089, or through Self, Andrea Joy via phone (918) 571-8813.

Contact Information

Primary practice address
1632 S Kerr Blvd Sallisaw OK 74955
Phone: (918) 774-0089
Fax: (918) 774-0890
Website:
Map and Directions
Authorized official contact:
Name: Self, Andrea Joy Doctor of Public Health (DPH)
Phone: (918) 571-8813

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1174098941
LBN Legal business name Sequoyah County Drug Company Pllc
DBA Doing business as
Authorized official Self, Andrea Joy Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2018
Last updated Jan 17th, 2022 - about 2 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 1174098941 NPPES
Oklahoma MEDICAID 200811470A

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