Mcloud Clinic Pharmacy
LBN: Shawnee Regional Pharmacy Inc
Mcloud Clinic Pharmacy is an health care organization with primary practice located at 704 S 8Th St Ste B, Mcloud OK 74851-8633. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shawnee Regional Pharmacy Inc can be contacted via phone (405) 964-3956, or through Palmer, Lauren via phone (405) 964-3956.
Contact Information
Primary practice address
704 S 8Th St Ste B
Mcloud OK 74851-8633
Phone: (405) 964-3956
Fax: (405) 964-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 10-4899 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1851308324 |
|---|---|
| LBN Legal business name | Shawnee Regional Pharmacy Inc |
| DBA Doing business as | Mcloud Clinic Pharmacy |
| Authorized official | Palmer, Lauren PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851308324 | NPPES |
| Oklahoma | MEDICAID | 100233850B | |
| Oklahoma | Other | 2076963 |
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