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Contact Information

CHARLIES DISCOUNT DRUG INC
723 S WALNUT ST
STILLWATER, OK74074-4224
 Phone: 405-624-3535
 Fax: 405-624-3536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

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 CHARLIES DISCOUNT DRUG INC

NPI Number 1811080252
LBN Legal business name CHARLIES DISCOUNT DRUG INC
Authorized official DEBBI HERNANDEZ - (PRES)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2006
Last updated 07/22/2016 - About 10 years ago
Identifiers
OK License # 8-2209
OK Medicaid 100235860A
Other 2073667 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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