Prague Pharmacy
LBN: Sheffields Prague Pharmacy Llc
Prague Pharmacy is an health care organization with primary practice located at 1020 W Main St , Prague OK 74864-4501. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Sheffields Prague Pharmacy Llc can be contacted via phone (405) 567-4322, or through Sheffield, Joshua via phone (405) 567-4322.
Contact Information
Primary practice address
1020 W Main St
Prague OK 74864-4501
Phone: (405) 567-4322
Fax: (405) 567-3303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 31-7434 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1770954802 |
|---|---|
| LBN Legal business name | Sheffields Prague Pharmacy Llc |
| DBA Doing business as | Prague Pharmacy |
| Authorized official | Sheffield, Joshua |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 15th, 2015 |
| Last updated | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770954802 | NPPES |
| Oklahoma | MEDICAID | 200615030A | |
| Oklahoma | MEDICAID | 200615030B | |
| Oklahoma | Other | 2154659 |
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