Hutton Pharmacy

LBN: Hutton Pharmacy Inc
Hutton Pharmacy is an health care organization with primary practice located at 119 N Main St , Blackwell OK 74631-2226. 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. Hutton Pharmacy Inc can be contacted via phone (580) 363-2137, or through Hutton, Dennis via phone (580) 363-2137.

Contact Information

Primary practice address
119 N Main St Blackwell OK 74631-2226
Phone: (580) 363-2137
Fax: (580) 363-5582
Website:
Map and Directions
Authorized official contact:
Name: Hutton, Dennis
Phone: (580) 363-2137

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 61743 Oklahoma

Profile Details

NPI number 1023004215
LBN Legal business name Hutton Pharmacy Inc
DBA Doing business as Hutton Pharmacy
Authorized official Hutton, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 12th, 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 1023004215 NPPES
Other 2072648 PK
MEDICAID 100233110A PK
MEDICAID 90003904315 PK

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