Popkess Pharmacy

LBN: Popkess Pharmacy Inc.
Popkess Pharmacy is an health care organization with primary practice located at 524 E Don Tyler Ave , Dewey OK 74029-2518. 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. Popkess Pharmacy Inc. can be contacted via phone (918) 534-2262, or through Clark, Ashley Taylor via phone (918) 534-2262.

Contact Information

Primary practice address
524 E Don Tyler Ave Dewey OK 74029-2518
Phone: (918) 534-2262
Fax: (918) 534-3208
Website:
Map and Directions
Authorized official contact:
Name: Clark, Ashley Taylor PHARMD
Phone: (918) 534-2262

Health care specialties

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

Profile Details

NPI number 1265592158
LBN Legal business name Popkess Pharmacy Inc.
DBA Doing business as Popkess Pharmacy
Authorized official Clark, Ashley Taylor PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 10th, 2023 - about 3 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 1265592158 NPPES
Oklahoma MEDICAID 100242900A
Oklahoma Other 2074708

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