Medicap Pharmacy

LBN: Glenpool Pharmacy Inc
Medicap Pharmacy is an health care organization with primary practice located at 262 E 141St Street , Glenpool OK 74033. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Glenpool Pharmacy Inc can be contacted via phone (918) 322-3667, or through Green, Bryan via phone (918) 322-3667.

Contact Information

Primary practice address
262 E 141St Street Glenpool OK 74033
Fax: (918) 322-5923
Website:
Authorized official contact:
Name: Green, Bryan Doctor of Public Health (DPH)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 23831 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1750440129
LBN Legal business name Glenpool Pharmacy Inc
DBA Doing business as Medicap Pharmacy
Authorized official Green, Bryan Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 7th, 2023 - about 3 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 1750440129 NPPES
Oklahoma MEDICAID 100239390A
Oklahoma Other 3714549
Oklahoma MEDICAID 100239390B
Oklahoma MEDICAID 90003921020

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