National Provider Identifier Database

NEWMAN MEDICAL CENTER PHARMACY INC
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

NEWMAN MEDICAL CENTER PHARMACY INC
905 S MAIN ST
SHATTUCK, OK73858-9205
Phone: 580-938-5127
Fax: 580-938-2498
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for NEWMAN MEDICAL CENTER PHARMACY INC

NPI Number 1366515926
Legal business name
LBN
NEWMAN MEDICAL CENTER PHARMACY INC
Authorized official JOHN HERBER - (OWNER AND PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 11/15/2006
Last updated 05/25/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 755174
  • OK Medicaid: 90003901428
  • Other: 2073251 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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