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Contact Information

LOGSDON LOTZ DRUG INC
101 N GRAND
CRESCENT, OK73028
 Phone: 405-969-3518
 Fax: 405-969-2208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LOGSDON LOTZ DRUG INC

NPI # 1134135932
LBN Legal business name LOGSDON LOTZ DRUG INC
Authorized official CRAIG LOTZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 10/05/2016 - About 10 years ago
Identifiers
OK License # 32-1953
OK Medicaid 100236800A
Other 2072715 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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