Tradition Drug

LBN: The Clinic Pharmacy On Arlington
Tradition Drug is an health care organization with primary practice located at 1131 Arlington St , Ada OK 74820-4038. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. The Clinic Pharmacy On Arlington can be contacted via phone (580) 332-5720, or through Ware, Brenda via phone (580) 436-5111.

Contact Information

Primary practice address
1131 Arlington St Ada OK 74820-4038
Fax: (580) 332-5724
Website:
Authorized official contact:
Name: Ware, Brenda

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 23-6131 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962509802
LBN Legal business name The Clinic Pharmacy On Arlington
DBA Doing business as Tradition Drug
Authorized official Ware, Brenda
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jan 17th, 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 1962509802 NPPES
Oklahoma MEDICAID 100234590A
Oklahoma Other 2138726

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