Super H Pharmacy
LBN: Pharmology Bristow Llc
Super H Pharmacy is an health care organization with primary practice located at 201 E 7Th Ave , Bristow OK 74010-2503. 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.
Pharmology Bristow Llc can be contacted via phone (918) 367-3328, or through Fin, Matthew via phone (469) 261-3048.
Contact Information
Primary practice address
201 E 7Th Ave
Bristow OK 74010-2503
Phone: (918) 367-3328
Fax: (918) 367-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 11-5374 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1720171168 |
|---|---|
| LBN Legal business name | Pharmology Bristow Llc |
| DBA Doing business as | Super H Pharmacy |
| Authorized official | Fin, Matthew |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Sep 19th, 2018 - about 8 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 | 1720171168 | NPPES |
| Oklahoma | MEDICAID | 100236210A | |
| Oklahoma | Other | 2073744 |
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