Eric'S Pharmacy

LBN: Winegardner Inc
Eric'S Pharmacy is an health care organization with primary practice located at 3306 N Kickapoo Ave , Shawnee OK 74804-1702. 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. Winegardner Inc can be contacted via phone (405) 275-9640, or through Winegardner, Eric via phone (405) 275-9640.

Contact Information

Primary practice address
3306 N Kickapoo Ave Shawnee OK 74804-1702
Phone: (405) 275-9640
Fax: (405) 214-4490
Website:
Map and Directions
Authorized official contact:
Name: Winegardner, Eric Doctor of Public Health (DPH)
Phone: (405) 275-9640

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 10-5421 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1437234721
LBN Legal business name Winegardner Inc
DBA Doing business as Eric'S Pharmacy
Authorized official Winegardner, Eric Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Apr 26th, 2024 - about last year

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 1437234721 NPPES
Oklahoma MEDICAID 100811090B
Oklahoma Other 2074787
Oklahoma MEDICAID 100811090A

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