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Contact Information

OKLAHOMA CVS PHARMACY LLC
106 W HWY 152
MUSTANG, OK73064
 Phone: 405-376-3340
 Fax: 405-376-1390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for OKLAHOMA CVS PHARMACY LLC

NPI # 1306944020
LBN Legal business name OKLAHOMA CVS PHARMACY LLC
Authorized official SUSAN COLBERT - (DIRECTOR, PAYER RELATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 11/07/2014 - About 12 years ago
Identifiers
OK License # 26-5404
OK Medicaid 90003931714
Other 3722089 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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