Weleetka Drug

LBN: Weleetka Drug Incorporated
Weleetka Drug is an health care organization with primary practice located at 309 W 9Th Street , Weleetka OK 74880-0727. The organization recently has 6 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 / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Weleetka Drug Incorporated can be contacted via phone (405) 786-2247, or through Sheneman, Gallen via phone (405) 786-2337.

Contact Information

Primary practice address
309 W 9Th Street Weleetka OK 74880-0727
Phone: (405) 786-2247
Fax: (405) 786-2409
Website:
Map and Directions
Authorized official contact:
Name: Sheneman, Gallen
Phone: (405) 786-2337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 51-6952 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1639575269
LBN Legal business name Weleetka Drug Incorporated
DBA Doing business as Weleetka Drug
Authorized official Sheneman, Gallen
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2014
Last updated Oct 11th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639575269 NPPES
Oklahoma MEDICAID 200564890A
Oklahoma Other 2148284

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