National Provider Identifier Database

GOOD SHEPHERD COMMUNITY CLINIC 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

GOOD SHEPHERD COMMUNITY CLINIC, INC
20 12TH AVE NW
ARDMORE, OK73401-5722
Phone: 580-223-3411
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for GOOD SHEPHERD COMMUNITY CLINIC, INC

NPI Number 1730539487
Legal business name
LBN
GOOD SHEPHERD COMMUNITY CLINIC, INC
Authorized official TERESA MYERS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/14/2016
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 3729514 NCPDP
  • OK Other: 12-8483 OKLAHOMA STATE BOARD OF PHARMACY LICENSE

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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