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Contact Information

CLINICAL CARE PHARMACY OF OWASSO
130 S MAIN ST
OWASSO, OK74055-3108
 Phone: 918-274-1737
 Fax: 918-274-1745
 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
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CLINICAL CARE PHARMACY OF OWASSO

NPI Number 1578657987
LBN Legal business name CLINICAL CARE PHARMACY OF OWASSO
Authorized official KATHY CAMPBELL - (OWNER CLINICAL CARE PHARMACY OF OWA)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/25/2025 - About 9 months ago
Identifiers
OK License # 24520
OK Medicaid 100246800B
Other 3722988 OTHER ID NUMBER-COMMERCIAL NUMBER
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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