Clinic Pharmacy
LBN: Phillip W & Phyllis J Melton
Clinic Pharmacy is an health care organization with primary practice located at 1104 E Central Blvd Suite 1, Anadarko OK 73005-4406. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Phillip W & Phyllis J Melton can be contacted via phone (405) 247-3081, or through Melton, Philip via phone (405) 247-3081.
Contact Information
Primary practice address
1104 E Central Blvd Suite 1
Anadarko OK 73005-4406
Phone: (405) 247-3081
Fax: (405) 247-3081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 20-4065 | Oklahoma |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1427141860 |
|---|---|
| LBN Legal business name | Phillip W & Phyllis J Melton |
| DBA Doing business as | Clinic Pharmacy |
| Authorized official | Melton, Philip RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 30th, 2006 |
| Last updated | Sep 1st, 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 | 1427141860 | NPPES |
| Oklahoma | MEDICAID | 100804450E | |
| Oklahoma | Other | 2075827 |
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