Country Mart Pharmacy

LBN: Green Country Pharmacy Llc
Country Mart Pharmacy is an health care organization with primary practice located at 13937 South Hwy 51 , Coweta OK 74429. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Green Country Pharmacy Llc can be contacted via phone (918) 279-6600, or through Green, Byran via phone (918) 279-6600.

Contact Information

Primary practice address
13937 South Hwy 51 Coweta OK 74429
Phone: (918) 279-6600
Fax: (918) 279-6601
Website:
Map and Directions
Authorized official contact:
Name: Green, Byran
Phone: (918) 279-6600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 38-5218 Oklahoma

Profile Details

NPI number 1215137617
LBN Legal business name Green Country Pharmacy Llc
DBA Doing business as Country Mart Pharmacy
Authorized official Green, Byran
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2007
Last updated Jul 29th, 2016 - about 10 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 1215137617 NPPES
Other 2077136 PK
MEDICAID 200117070A PK

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