The Clinic Pharmacy
LBN: Shawnee Regional Pharmacy Inc
The Clinic Pharmacy is an health care organization with primary practice located at 3210 Kethley Rd , Shawnee OK 74804-9625. 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.
Shawnee Regional Pharmacy Inc can be contacted via phone (405) 273-9417, or through Barrick, Timothy via phone (405) 273-9417.
Contact Information
Primary practice address
3210 Kethley Rd
Shawnee OK 74804-9625
Phone: (405) 273-9417
Fax: (405) 273-8849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 105520 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1770652257 |
|---|---|
| LBN Legal business name | Shawnee Regional Pharmacy Inc |
| DBA Doing business as | The Clinic Pharmacy |
| Authorized official | Barrick, Timothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | May 11th, 2015 - about 9 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 | 1770652257 | NPPES |
| Oklahoma | MEDICAID | 100235610A | |
| Oklahoma | Other | 2073679 |
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