Tishomingo Express Pharmacy
LBN: Pharmology Tishmingo Acquisition Llc
Tishomingo Express Pharmacy is an health care organization with primary practice located at 140 E Main St , Tishomingo OK 73460-2838. 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.
Pharmology Tishmingo Acquisition Llc can be contacted via phone (580) 371-2355, or through Ritter, Susan via phone (580) 889-0230.
Contact Information
Primary practice address
140 E Main St
Tishomingo OK 73460-2838
Phone: (580) 371-2355
Fax: (580) 371-0000
Website:
Authorized official contact:
Name: Ritter, Susan Doctor of Public Health (DPH)
Phone: (580) 889-0230
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1124642178 |
|---|---|
| LBN Legal business name | Pharmology Tishmingo Acquisition Llc |
| DBA Doing business as | Tishomingo Express Pharmacy |
| Authorized official | Ritter, Susan Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2020 |
| Last updated | Dec 15th, 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 | 1124642178 | NPPES |
| Oklahoma | MEDICAID | 200909800 |
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