Revan Inc

LBN: Revan Inc
Revan Inc is an health care organization with primary practice located at 5601 Nw 72Nd St Ste 142 , Warr Acres OK 73132-5924. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Revan Inc can be contacted via phone (888) 773-8267, or through Evans, Justin via phone (888) 773-8267.

Contact Information

Primary practice address
5601 Nw 72Nd St Ste 142 Warr Acres OK 73132-5924
Phone: (888) 773-8267
Fax: (888) 998-8267
Website:
Map and Directions
Authorized official contact:
Name: Evans, Justin
Phone: (888) 773-8267

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1396208757
LBN Legal business name Revan Inc
DBA Doing business as
Authorized official Evans, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2019
Last updated Feb 3rd, 2021 - about 5 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 1396208757 NPPES
Oklahoma MEDICAID 200841490A

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