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Contact Information

WELEETKA DRUG INCORPORATED
309 W 9TH STREET
WELEETKA, OK74880-0727
 Phone: 405-786-2247
 Fax: 405-786-2409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 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
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WELEETKA DRUG INCORPORATED

NPI # 1639575269
LBN Legal business name WELEETKA DRUG INCORPORATED
Authorized official GALLEN SHENEMAN - (PIC/DPH)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2014
Last updated 10/11/2021 - About 5 years ago
Identifiers
OK License # 51-6952
OK Medicaid 200564890A
Other 2148284 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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