<Unavail>

LBN: Lk Goodson Inc
<Unavail> is an health care organization with primary practice located at 114 N Broadway , Coweta OK 74429-2600. 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. Lk Goodson Inc can be contacted via phone (918) 486-2193, or through Goodson, Lance via phone (918) 486-2193.

Contact Information

Primary practice address
114 N Broadway Coweta OK 74429-2600
Phone: (918) 486-2193
Fax: (918) 486-5313
Website:
Map and Directions
Authorized official contact:
Name: Goodson, Lance
Phone: (918) 486-2193

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 38-5215 Oklahoma

Profile Details

NPI number 1326074469
LBN Legal business name Lk Goodson Inc
DBA Doing business as <Unavail>
Authorized official Goodson, Lance
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Sep 19th, 2025 - about last year

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 1326074469 NPPES
Oklahoma MEDICAID 200119480A
Oklahoma Other 2072714

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