Clinic Pharmacy

LBN: Sam Thornbrough
Clinic Pharmacy is an health care organization with primary practice located at 1601 Watts St , Sayre OK 73662-1314. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sam Thornbrough can be contacted via phone (580) 928-3058, or through Thornbrough, Sam via phone (580) 928-3058.

Contact Information

Primary practice address
1601 Watts St Sayre OK 73662-1314
Phone: (580) 928-3058
Fax: (580) 928-3873
Website:
Map and Directions
Authorized official contact:
Name: Thornbrough, Sam
Phone: (580) 928-3058

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 351906 Oklahoma

Profile Details

NPI number 1235215807
LBN Legal business name Sam Thornbrough
DBA Doing business as Clinic Pharmacy
Authorized official Thornbrough, Sam
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jun 8th, 2015 - about 11 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 1235215807 NPPES
Oklahoma MEDICAID 100233760A OK
Oklahoma Other 2073245

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