Elliott Plaza Pharmacy

LBN: Elliott Plaza Pharmacy
Elliott Plaza Pharmacy is an health care organization with primary practice located at 510 S Elliott St , Pryor OK 74361-6411. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Elliott Plaza Pharmacy can be contacted via phone (918) 825-2225, or through Turner, Paul Andrew via phone (918) 543-8777.

Contact Information

Primary practice address
510 S Elliott St Pryor OK 74361-6411
Phone: (918) 825-2225
Fax: (918) 825-0972
Website:
Map and Directions
Authorized official contact:
Name: Turner, Paul Andrew
Phone: (918) 543-8777

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 30-4970 Oklahoma

Profile Details

NPI number 1467585653
LBN Legal business name Elliott Plaza Pharmacy
DBA Doing business as
Authorized official Turner, Paul Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1467585653 NPPES
Oklahoma MEDICAID 2000050100B

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