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Contact Information

BINTZ PHARMACY, INC.
2701 N 14TH ST
PONCA CITY, OK74601-1738
 Phone: 580-765-3055
 Fax: 580-765-3410
 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
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BINTZ PHARMACY, INC.

NPI Number 1841255379
LBN Legal business name BINTZ PHARMACY, INC.
Authorized official MATT BINTZ - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2006
Last updated 08/10/2020 - About 6 years ago
Identifiers
OK License # 6-5771
OK Medicaid 100233080A
OK Medicaid 100233080C
Other 2127193 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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