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Contact Information

GFJ INC
1030 E LANSING ST
BROKEN ARROW, OK74012-2073
 Phone: 918-251-3784
 Fax: 918-294-1004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GFJ INC

NPI Number 1386997948
LBN Legal business name GFJ INC
Authorized official TODD PENDERGRAFT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2012
Last updated 12/02/2019 - About 7 years ago
Identifiers
OK License # 2-6087
OK Medicaid 100812690D
Other 2137360 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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