Davids Pharmacy

LBN: Davids Pharmacy
Davids Pharmacy is an health care organization with primary practice located at 1300 E Kerr Blvd , Wynnewood OK 73098-1005. 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. Davids Pharmacy can be contacted via phone (405) 665-4225, or through Payne, Michael via phone (405) 665-4225.

Contact Information

Primary practice address
1300 E Kerr Blvd Wynnewood OK 73098-1005
Phone: (405) 665-4225
Fax: (405) 665-2875
Website:
Map and Directions
Authorized official contact:
Name: Payne, Michael RPH
Phone: (405) 665-4225

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 223328 Oklahoma

Profile Details

NPI number 1356402424
LBN Legal business name Davids Pharmacy
DBA Doing business as Davids Pharmacy
Authorized official Payne, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 7th, 2016 - about 10 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 1356402424 NPPES
Other 2073682 PK
MEDICAID 90003915204 PK

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