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Contact Information

LASSITER ENTERPRISES INC
3001 S MANSFIELD AVE
DEL CITY, OK73115-1425
 Phone: 405-619-3736
 Fax: 405-619-3739
 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 LASSITER ENTERPRISES INC

NPI Number 1073679346
LBN Legal business name LASSITER ENTERPRISES INC
Authorized official JOHN LASSITER - (MANAGER AND OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 11/29/2021 - About 5 years ago
Identifiers
OK License # 14953
OK Medicaid 100243280A
Other 3724449 NCPDP PROVIDER IDENTIFICATION NUMBER
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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