CARL'S HOMETOWN PHARMACY LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

CARL'S HOMETOWN PHARMACY LLC

1101 NEO LOOP
GROVE, OK 74344

Phone: 918-791-3295
Fax: 918-791-3296
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for CARL'S HOMETOWN PHARMACY LLC

NPI # 1295318418

LBN Legal business name CARL'S HOMETOWN PHARMACY LLC

Authorized official CARL DEASON - (OWNER/PHARMACIST918)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/05/2021

Last updated 07/05/2021 - About 5 years ago

Identifiers

OK	Medicaid	200983770A
OK	Other	45-8920	STATE PHARMACY LICENSE

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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