Broken Arrow Family Drug North
LBN: Gfj Inc
Broken Arrow Family Drug North is an health care organization with primary practice located at 1030 E Lansing St , Broken Arrow OK 74012-2073. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Gfj Inc can be contacted via phone (918) 251-3784, or through Pendergraft, Todd via phone (918) 451-3784.
Contact Information
Primary practice address
1030 E Lansing St
Broken Arrow OK 74012-2073
Phone: (918) 251-3784
Fax: (918) 294-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-6087 | Oklahoma |
| Suppliers / Institutional Pharmacy | 3336I0012X |
Profile Details
| NPI number | 1386997948 |
|---|---|
| LBN Legal business name | Gfj Inc |
| DBA Doing business as | Broken Arrow Family Drug North |
| Authorized official | Pendergraft, Todd |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2012 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386997948 | NPPES |
| Other | 2137360 | PK | |
| MEDICAID | 100812690D | PK |
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