Toni'S Westside Healthmart
LBN: Toni'S Westside Rexall Inc
Toni'S Westside Healthmart is an health care organization with primary practice located at 301 W Grand Ave , Ponca City OK 74601-5118. 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.
Toni'S Westside Rexall Inc can be contacted via phone (580) 765-4456, or through Gibson, Toni K via phone (580) 765-4456.
Contact Information
Primary practice address
301 W Grand Ave
Ponca City OK 74601-5118
Phone: (580) 765-4456
Fax: (580) 765-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 62133 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1164437901 |
|---|---|
| LBN Legal business name | Toni'S Westside Rexall Inc |
| DBA Doing business as | Toni'S Westside Healthmart |
| Authorized official | Gibson, Toni K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jan 6th, 2022 - 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 | 1164437901 | NPPES |
| Oklahoma | MEDICAID | 100235620A | |
| Oklahoma | Other | 2073065 | |
| Oklahoma | MEDICAID | 100235620B |
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