Crest Rx Pharmacy
LBN: Twin R No 2 Inc
Crest Rx Pharmacy is an health care organization with primary practice located at 249 N Douglas Blvd , Midwest City OK 73130-3309. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Twin R No 2 Inc can be contacted via phone (405) 741-4411, or through Moss, Phil via phone (405) 741-4411.
Contact Information
Primary practice address
249 N Douglas Blvd
Midwest City OK 73130-3309
Phone: (405) 741-4411
Fax: (405) 733-7260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 1-4593 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1043303472 |
|---|---|
| LBN Legal business name | Twin R No 2 Inc |
| DBA Doing business as | Crest Rx Pharmacy |
| Authorized official | Moss, Phil Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Jun 21st, 2016 - about 8 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 | 1043303472 | NPPES |
| Oklahoma | MEDICAID | 100234140A | |
| Oklahoma | Other | 2072548 |
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