Clinic Pharmacy

LBN: Clinic Pharmacy Inc
Clinic Pharmacy is an health care organization with primary practice located at 120 N Bryant Ave Ste A2 , Edmond OK 73034-6300. 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. Clinic Pharmacy Inc can be contacted via phone (405) 341-8490, or through Isaacs, Susan via phone (405) 341-8490.

Contact Information

Primary practice address
120 N Bryant Ave Ste A2 Edmond OK 73034-6300
Phone: (405) 341-8490
Fax: (405) 341-8496
Website:
Map and Directions
Authorized official contact:
Name: Isaacs, Susan
Phone: (405) 341-8490

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1982742979
LBN Legal business name Clinic Pharmacy Inc
DBA Doing business as Clinic Pharmacy
Authorized official Isaacs, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Apr 27th, 2020 - about 6 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 1982742979 NPPES
Other 2072521 PK
MEDICAID 100232410A PK

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