Mustang Drug
LBN: Mustang Drug Llc
Mustang Drug is an health care organization with primary practice located at 103 E State Highway 152 , Mustang OK 73064-4406. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mustang Drug Llc can be contacted via phone (405) 256-0555, or through Alami, Selma via phone (405) 256-0555.
Contact Information
Primary practice address
103 E State Highway 152
Mustang OK 73064-4406
Phone: (405) 256-0555
Fax: (405) 256-0565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1235688060 |
|---|---|
| LBN Legal business name | Mustang Drug Llc |
| DBA Doing business as | Mustang Drug |
| Authorized official | Alami, Selma PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2016 |
| Last updated | Jul 3rd, 2020 - about 6 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 | 1235688060 | NPPES |
| Oklahoma | MEDICAID | 200682900A | |
| Oklahoma | Other | 2164331 |
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