Henry Roberts Express Pharmacy

LBN: Henry Roberts Express Pharmacy
Henry Roberts Express Pharmacy is an health care organization with primary practice located at 1316 12Th Ave Nw , Ardmore OK 73401-1285. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Henry Roberts Express Pharmacy can be contacted via phone (580) 223-5828, or through Moore, William Donald via phone (580) 223-5828.

Contact Information

Primary practice address
1316 12Th Ave Nw Ardmore OK 73401-1285
Phone: (580) 223-5828
Fax: (580) 226-3902
Website:
Map and Directions
Authorized official contact:
Name: Moore, William Donald PHARMD
Phone: (580) 223-5828

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 125653 Oklahoma

Profile Details

NPI number 1669885828
LBN Legal business name Henry Roberts Express Pharmacy
DBA Doing business as
Authorized official Moore, William Donald PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2014
Last updated Jun 6th, 2014 - about 12 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 1669885828 NPPES
Oklahoma MEDICAID 100244950

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