Olivers Express Pharmacy Llc

LBN: Olivers Express Pharmacy Llc
Olivers Express Pharmacy Llc is an health care organization with primary practice located at 624 N Main St , Fairview OK 73737-1216. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Olivers Express Pharmacy Llc can be contacted via phone (580) 227-4000, or through Lackey, Oliver Gary via phone (580) 744-1401.

Contact Information

Primary practice address
624 N Main St Fairview OK 73737-1216
Phone: (580) 227-4000
Fax: (580) 227-4003
Website:
Map and Directions
Authorized official contact:
Name: Lackey, Oliver Gary PHARMD
Phone: (580) 744-1401

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1134545999
LBN Legal business name Olivers Express Pharmacy Llc
DBA Doing business as
Authorized official Lackey, Oliver Gary PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134545999 NPPES
Oklahoma MEDICAID 200531040A

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