Wilson Pharmacy
LBN: Thomas Wilson Pharmacy Inc
Wilson Pharmacy is an health care organization with primary practice located at 911 S Air Depot Blvd , Midwest City OK 73110-4836. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Thomas Wilson Pharmacy Inc can be contacted via phone (405) 737-3464, or through Matlock, Steven via phone (405) 737-3464.
Contact Information
Primary practice address
911 S Air Depot Blvd
Midwest City OK 73110-4836
Phone: (405) 737-3464
Fax: (405) 737-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1-7280 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1669576625 |
|---|---|
| LBN Legal business name | Thomas Wilson Pharmacy Inc |
| DBA Doing business as | Wilson Pharmacy |
| Authorized official | Matlock, Steven |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669576625 | NPPES |
| Oklahoma | MEDICAID | 100234270B | |
| Oklahoma | MEDICAID | 100234270A | |
| Oklahoma | Other | 2081553 |
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