Med-X Drug #14
LBN: Med-X Corporation
Med-X Drug #14 is an health care organization with primary practice located at 1339 E 41St St , Tulsa OK 74105-4031. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Med-X Corporation can be contacted via phone (918) 744-5490, or through Boone, Gary M. via phone (479) 394-6363.
Contact Information
Primary practice address
1339 E 41St St
Tulsa OK 74105-4031
Phone: (918) 744-5490
Fax: (918) 743-1051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 22630 | Oklahoma |
| Suppliers / Pharmacy | 333600000X | 22630 | Oklahoma |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1285718320 |
|---|---|
| LBN Legal business name | Med-X Corporation |
| DBA Doing business as | Med-X Drug #14 |
| Authorized official | Boone, Gary M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Nov 4th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285718320 | NPPES |
| Oklahoma | MEDICAID | 100233260L | |
| Oklahoma | Other | 400522490 | |
| Oklahoma | Other | 100246210K | |
| Oklahoma | Other | 3714032 |
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