Bethel Pharmacy Llc

LBN: Bethel Pharmacy Llc
Bethel Pharmacy Llc is an health care organization with primary practice located at 205 E Pine St Ste 7 , Tulsa OK 74106-4859. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bethel Pharmacy Llc can be contacted via phone (918) 505-9650, or through Kanwhen, Aaron via phone (918) 505-9650.

Contact Information

Primary practice address
205 E Pine St Ste 7 Tulsa OK 74106-4859
Phone: (918) 505-9650
Fax: (918) 518-7182
Website:
Map and Directions
Authorized official contact:
Name: Kanwhen, Aaron
Phone: (918) 505-9650

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2-6814 Oklahoma

Profile Details

NPI number 1124427745
LBN Legal business name Bethel Pharmacy Llc
DBA Doing business as
Authorized official Kanwhen, Aaron
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2014
Last updated Apr 4th, 2017 - about 9 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 1124427745 NPPES
Oklahoma MEDICAID 200570490A
Oklahoma Other 2147863

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