NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

BROKEN OAK LLC
208 S MAIN ST
OMAK, WA98841-9755
 Phone: 509-740-0833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

1835P0018X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for BROKEN OAK LLC

NPI Number 1548887771
LBN Legal business name BROKEN OAK LLC
Authorized official APRIL RUSSELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2020
Last updated 07/03/2020 - About 6 years ago
Identifiers n/a
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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