Boothe Drug Store
LBN: Truett Guthrie
Boothe Drug Store is an health care organization with primary practice located at 100 W 4Th St , Hobart OK 73651-4010. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Truett Guthrie can be contacted via phone (580) 726-2221, or through Guthrie, Truett via phone (580) 726-2221.
Contact Information
Primary practice address
100 W 4Th St
Hobart OK 73651-4010
Phone: (580) 726-2221
Fax: (580) 726-3530
Website:
Authorized official contact:
Name: Guthrie, Truett Doctor of Public Health (DPH)
Phone: (580) 726-2221
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 4165 | Oklahoma |
Profile Details
| NPI number | 1376554931 |
|---|---|
| LBN Legal business name | Truett Guthrie |
| DBA Doing business as | Boothe Drug Store |
| Authorized official | Guthrie, Truett Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | May 27th, 2010 - about 14 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 | 1376554931 | NPPES |
| Other | 3705273 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 100232150A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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