Medicap Pharmacy

LBN: Glenpool Pharmacy Inc
Medicap Pharmacy is an health care organization with primary practice located at 1601 N Peoria Ave , Tulsa OK 74106-4463. 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 Morgan, Matthew via phone (614) 652-1509.

Contact Information

Primary practice address
1601 N Peoria Ave Tulsa OK 74106-4463
Phone: (918) 322-3667
Fax: (918) 322-3667
Website:
Map and Directions
Authorized official contact:
Name: Morgan, Matthew
Phone: (614) 652-1509

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 25496 Oklahoma

Profile Details

NPI number 1871823781
LBN Legal business name Glenpool Pharmacy Inc
DBA Doing business as Medicap Pharmacy
Authorized official Morgan, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2009
Last updated Jun 27th, 2012 - about 14 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 1871823781 NPPES
Other 3726037 NCPDP PROVIDER IDENTIFICATION NUMBER

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