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Contact Information

HEROD DRUG, LLC.
212 W MAIN
CANTON, OK73724
 Phone: 580-886-3444
 Fax: 580-886-3445
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for HEROD DRUG, LLC.

NPI # 1134202187
LBN Legal business name HEROD DRUG, LLC.
Authorized official KIRSTEN HARRELSON - (PIC/AUTH)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 05/28/2024 - About 2 years ago
Identifiers
OK License # 49-6045
OK Medicaid 100245360A
Other 3714967 NCPDP
Other 2074042 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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