Dicus Pharmacy

LBN: Dicus Thrif-T-Wise Pharmacy, Inc.
Dicus Pharmacy is an health care organization with primary practice located at 312 W 12Th St , Ada OK 74820-6406. 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. Dicus Thrif-T-Wise Pharmacy, Inc. can be contacted via phone (580) 332-8888, or through Mcmillin, Dave via phone (580) 332-8888.

Contact Information

Primary practice address
312 W 12Th St Ada OK 74820-6406
Phone: (580) 332-8888
Fax: (580) 332-7965
Website:
Map and Directions
Authorized official contact:
Name: Mcmillin, Dave PHARMACY
Phone: (580) 332-8888

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 23948 Oklahoma

Profile Details

NPI number 1336257146
LBN Legal business name Dicus Thrif-T-Wise Pharmacy, Inc.
DBA Doing business as Dicus Pharmacy
Authorized official Mcmillin, Dave PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 4th, 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 1336257146 NPPES
Other 2072612 PK
MEDICAID 100232570A PK

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