The Medicine Store

LBN: Edgeman Health Llc
The Medicine Store is an health care organization with primary practice located at 311 N. Washington Ave. , Durant OK 74701. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Edgeman Health Llc can be contacted via phone (580) 924-3784, or through Edgeman, Nelson via phone (580) 916-5168.

Contact Information

Primary practice address
311 N. Washington Ave. Durant OK 74701
Phone: (580) 924-3784
Fax: (580) 920-0048
Website:
Map and Directions
Authorized official contact:
Name: Edgeman, Nelson PHARMD
Phone: (580) 916-5168

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 27-4393 Oklahoma

Profile Details

NPI number 1528143815
LBN Legal business name Edgeman Health Llc
DBA Doing business as The Medicine Store
Authorized official Edgeman, Nelson PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 18th, 2019 - about 7 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 1528143815 NPPES
Other 2074715 PK
MEDICAID 100242910A PK
Other 5TS-15286924-05 PK

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