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:
Authorized official contact:
Name: Winegardner, Eric Doctor of Public Health (DPH)
Phone: (405) 275-9640
Health care specialties
| Specialty | Code | License # | 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 5 months 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 | 1437234721 | NPPES |
| Oklahoma | MEDICAID | 100811090B | |
| Oklahoma | Other | 2074787 | |
| Oklahoma | MEDICAID | 100811090A |
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