NPI Database
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Contact Information

DIELRX
529 N MAIN ST
HENNESSEY, OK73742-1033
 Phone: 405-853-7200
 Fax: 405-853-7209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DIELRX

NPI Number 1033561659
LBN Legal business name DIELRX
Authorized official GRANT DIEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2016
Last updated 05/12/2023 - About 3 years ago
Identifiers
OK License # 54-7606
OK Medicaid 200201750D
Other 2160668 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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