Prairie Gardens Pharmacy Ltc Inc

LBN: Prairie Gardens Pharmacy Ltc Inc
Prairie Gardens Pharmacy Ltc Inc is an health care organization with primary practice located at 12301 N Western Ave Ste 106 , Oklahoma City OK 73114-8017. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Prairie Gardens Pharmacy Ltc Inc can be contacted via phone (405) 768-1818, or through Simons, Troy via phone (405) 742-8099.

Contact Information

Primary practice address
12301 N Western Ave Ste 106 Oklahoma City OK 73114-8017
Phone: (405) 768-1818
Fax: (405) 768-1919
Website:
Map and Directions
Authorized official contact:
Name: Simons, Troy Doctor of Public Health (DPH)
Phone: (405) 742-8099

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1346988565
LBN Legal business name Prairie Gardens Pharmacy Ltc Inc
DBA Doing business as
Authorized official Simons, Troy Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2022
Last updated Nov 18th, 2022 - about 4 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 1346988565 NPPES
Oklahoma Other 1-9220 OKLAHOMA STATE BOARD OF PHARMACY

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