<Unavail>

LBN: Aps 1705, Llc
<Unavail> is an health care organization with primary practice located at 1705 Renaissance Blvd Ste 110 , Edmond OK 73013-3045. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Aps 1705, Llc can be contacted via phone (405) 726-9845, or through Smith, Dustin via phone (405) 726-9845.

Contact Information

Primary practice address
1705 Renaissance Blvd Ste 110 Edmond OK 73013-3045
Phone: (405) 726-9845
Fax: (405) 726-9846
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dustin PHARMD
Phone: (405) 726-9845

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1235613886
LBN Legal business name Aps 1705, Llc
DBA Doing business as <Unavail>
Authorized official Smith, Dustin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2018
Last updated Nov 2nd, 2021 - about 5 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 1235613886 NPPES
Oklahoma MEDICAID 200809200A

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