<Unavail>

LBN: Pruett'S Cut-Rate Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 906 E Main St , Antlers OK 74523-2808. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Pruett'S Cut-Rate Pharmacy, Llc can be contacted via phone (580) 298-5064, or through Ritter, Ryan via phone (580) 889-0230.

Contact Information

Primary practice address
906 E Main St Antlers OK 74523-2808
Phone: (580) 298-5064
Fax: (580) 298-6144
Website:
Map and Directions
Authorized official contact:
Name: Ritter, Ryan Doctor of Public Health (DPH)
Phone: (580) 889-0230

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 59-2947 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1407840366
LBN Legal business name Pruett'S Cut-Rate Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Ritter, Ryan Doctor of Public Health (DPH)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 28th, 2024 - about 2 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 1407840366 NPPES
Oklahoma MEDICAID 100235490B
Oklahoma MEDICAID 100235490A

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