United Pharmacy Of Mangum

LBN: United Pharmacy Of Mangum Llc
United Pharmacy Of Mangum is an health care organization with primary practice located at 1000 N Louis Tittle Ave , Mangum OK 73554-2210. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. United Pharmacy Of Mangum Llc can be contacted via phone (580) 782-5400, or through Banister, Bradley via phone (580) 782-5400.

Contact Information

Primary practice address
1000 N Louis Tittle Ave Mangum OK 73554-2210
Fax: (580) 782-5404
Website:
Authorized official contact:
Name: Banister, Bradley PHRMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 60-4910 Oklahoma

Profile Details

NPI number 1497806483
LBN Legal business name United Pharmacy Of Mangum Llc
DBA Doing business as United Pharmacy Of Mangum
Authorized official Banister, Bradley PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated May 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497806483 NPPES
Oklahoma MEDICAID 200046200A
Oklahoma Other 2076977

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