<Unavail>
LBN: Tcaacp Llc
<Unavail> is an health care organization with primary practice located at 511 S Aspen Ave , Broken Arrow OK 74012-2296. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tcaacp Llc can be contacted via phone (918) 251-6655, or through Meacham, Caleb via phone (918) 251-6655.
Contact Information
Primary practice address
511 S Aspen Ave
Broken Arrow OK 74012-2296
Phone: (918) 251-6655
Fax: (918) 251-6622
Website:
Authorized official contact:
Name: Meacham, Caleb Doctor of Public Health (DPH)
Phone: (918) 251-6655
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 25915 | Oklahoma |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1013958990 |
|---|---|
| LBN Legal business name | Tcaacp Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Meacham, Caleb Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 26th, 2016 - about 10 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 | 1013958990 | NPPES |
| Oklahoma | MEDICAID | 100247200A | |
| Oklahoma | Other | 2076439 |
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