Eaglet Pharmacy

LBN: Eaglet Pharmacy Llc
Eaglet Pharmacy is an health care organization with primary practice located at 2209 Sw 104Th St Ste E , Oklahoma City OK 73159-7551. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Eaglet Pharmacy Llc can be contacted via phone (405) 676-5300, or through Panara, Valimohammed via phone (405) 676-5300.

Contact Information

Primary practice address
2209 Sw 104Th St Ste E Oklahoma City OK 73159-7551
Phone: (405) 676-5300
Fax: (405) 676-5321
Website:
Map and Directions
Authorized official contact:
Name: Panara, Valimohammed
Phone: (405) 676-5300

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447011135
LBN Legal business name Eaglet Pharmacy Llc
DBA Doing business as Eaglet Pharmacy
Authorized official Panara, Valimohammed
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2024
Last updated Feb 22nd, 2024 - about 2 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 1447011135 NPPES
Oklahoma MEDICAID 201224190A
Oklahoma Other 1-9605

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