Texoma Compounding Pharmacy

LBN: Az Rx Compounding Pharmacy, Llc.
Texoma Compounding Pharmacy is an health care organization with primary practice located at 2150 Ed F Davis Rd , Durant OK 74701-1053. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Az Rx Compounding Pharmacy, Llc. can be contacted via phone (405) 412-1404, or through Asgari, A.J. via phone (405) 412-1404.

Contact Information

Primary practice address
2150 Ed F Davis Rd Durant OK 74701-1053
Phone: (405) 412-1404
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Asgari, A.J.
Phone: (405) 412-1404

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 27-6518 Oklahoma

Profile Details

NPI number 1184045544
LBN Legal business name Az Rx Compounding Pharmacy, Llc.
DBA Doing business as Texoma Compounding Pharmacy
Authorized official Asgari, A.J.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2014
Last updated Jan 2nd, 2014 - about 12 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 1184045544 NPPES
Other 2143497 PK

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