NEWMAN MEDICAL CENTER PHARMACY INC; NPI #1366515926

Contact Information

NEWMAN MEDICAL CENTER PHARMACY INC

905 S MAIN ST
SHATTUCK, OK 73858-9205

Phone: 580-938-5127
Fax: 580-938-2498
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Long Term Care Pharmacy	3336L0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for NEWMAN MEDICAL CENTER PHARMACY INC

NPI # 1366515926

LBN Legal business name NEWMAN MEDICAL CENTER PHARMACY INC

Authorized official JOHN HERBER - (OWNER AND PHARMACIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2006

Last updated 05/25/2016 - About 10 years ago

Identifiers

OK	License #	755174
OK	Medicaid	90003901428
	Other	2073251	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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