Carl'S Hometown Pharmacy

LBN: Carl'S Hometown Pharmacy Llc
Carl'S Hometown Pharmacy is an health care organization with primary practice located at 1101 Neo Loop , Grove OK 74344. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Carl'S Hometown Pharmacy Llc can be contacted via phone (918) 791-3295, or through Deason, Carl Carmon via phone (918) 791-3295.

Contact Information

Primary practice address
1101 Neo Loop Grove OK 74344
Phone: (918) 791-3295
Fax: (918) 791-3296
Website:
Map and Directions
Authorized official contact:
Name: Deason, Carl Carmon PHARMACIST
Phone: (918) 791-3295

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1295318418
LBN Legal business name Carl'S Hometown Pharmacy Llc
DBA Doing business as Carl'S Hometown Pharmacy
Authorized official Deason, Carl Carmon PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2021
Last updated Jul 5th, 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 1295318418 NPPES
Oklahoma Other 45-8920 STATE PHARMACY LICENSE
Oklahoma MEDICAID 200983770A STATE PHARMACY LICENSE

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