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Contact Information

NW BARTLESVILLE LLC
143 SE WASHINGTON BLVD
BARTLESVILLE, OK74006-2334
 Phone: 918-876-4204
 Fax: 918-876-4206
 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
Indicates primary specialty

NPI Profile & details for NW BARTLESVILLE LLC

NPI Number 1386074946
LBN Legal business name NW BARTLESVILLE LLC
Authorized official UMAR FAROOQ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2013
Last updated 11/18/2025 - About 7 months ago
Identifiers
OK License # 9-6509
OK Medicaid 200532030A
Other 2144292 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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