Elgin Discount Pharmacy

LBN: Elgin Discount Pharmacy Inc
Elgin Discount Pharmacy is an health care organization with primary practice located at 7523 Us Highway 277 , Elgin OK 73538-2161. 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. Elgin Discount Pharmacy Inc can be contacted via phone (580) 492-5007, or through Deevers, Mark via phone (580) 492-5007.

Contact Information

Primary practice address
7523 Us Highway 277 Elgin OK 73538-2161
Phone: (580) 492-5007
Fax: (580) 492-5090
Website:
Map and Directions
Authorized official contact:
Name: Deevers, Mark
Phone: (580) 492-5007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 35152 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1669487534
LBN Legal business name Elgin Discount Pharmacy Inc
DBA Doing business as Elgin Discount Pharmacy
Authorized official Deevers, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Jun 8th, 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 1669487534 NPPES
Oklahoma MEDICAID 100237460A
Oklahoma Other 2073849

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