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
Phone: (918) 322-3667
Fax: (918) 322-5923
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750440129 | NPPES |
| Oklahoma | MEDICAID | 100239390A | |
| Oklahoma | Other | 3714549 | |
| Oklahoma | MEDICAID | 100239390B | |
| Oklahoma | MEDICAID | 90003921020 |
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