Crest Rx

LBN: Crest Rx Llc
Crest Rx is an health care organization with primary practice located at 10601 S May Ave Ste 11 , Oklahoma City OK 73170-2501. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Crest Rx Llc can be contacted via phone (405) 378-7171, or through Justice, Sara via phone (405) 378-7171.

Contact Information

Primary practice address
10601 S May Ave Ste 11 Oklahoma City OK 73170-2501
Phone: (405) 378-7171
Fax: (405) 378-7173
Website:
Map and Directions
Authorized official contact:
Name: Justice, Sara
Phone: (405) 378-7171

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 75537 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1205157724
LBN Legal business name Crest Rx Llc
DBA Doing business as Crest Rx
Authorized official Justice, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2010
Last updated Jun 27th, 2015 - about 11 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 1205157724 NPPES
Oklahoma MEDICAID 200293490A
Oklahoma Other 2125510

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