Medical Park Center Pharmacy
LBN: Medical Park Center Pharmacy Inc
Medical Park Center Pharmacy is an health care organization with primary practice located at 3400 E Frank Phillips Blvd Ste 203, Bartlesville OK 74006-2495. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Medical Park Center Pharmacy Inc can be contacted via phone (918) 331-2525, or through Moore, Brent via phone (918) 331-2525.
Contact Information
Primary practice address
3400 E Frank Phillips Blvd Ste 203
Bartlesville OK 74006-2495
Phone: (918) 331-2525
Fax: (918) 331-2589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9-2507 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1124128962 |
|---|---|
| LBN Legal business name | Medical Park Center Pharmacy Inc |
| DBA Doing business as | Medical Park Center Pharmacy |
| Authorized official | Moore, Brent Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124128962 | NPPES |
| Oklahoma | MEDICAID | 100237130A | |
| Oklahoma | Other | 2073828 |
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