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Contact Information

HENRY ROBERTS EXPRESS PHARMACY LLC
1316 12TH AVE NW
ARDMORE, OK73401-1285
 Phone: 580-223-5828
 Fax: 580-226-3902
 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
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HENRY ROBERTS EXPRESS PHARMACY LLC

NPI # 1093725285
LBN Legal business name HENRY ROBERTS EXPRESS PHARMACY LLC
Authorized official HENRY ROBERTS - (PHARMACIST OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 08/15/2016 - About 10 years ago
Identifiers
OK License # 12-5653
OK Medicaid 100244950A
OK Medicaid 100244950B
Other 2076065 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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