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CLINIC PHARMACY OF CORDELL INC NPI 1053796235


NPI Information

NPI: 1053796235
Provider Name: CLINIC PHARMACY OF CORDELL INC

Doing Business As: CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1213 N GLENN ENGLISH ST
CORDELL, OK
ZIP 73632
Phone: (580) 832-3714
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CLINIC PHARMACY OF CORDELL INC is a community/retail pharmacy pharmacy in Cordell, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CLINIC PHARMACY OF CORDELL INC NPI is 1053796235. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinic Pharmacy.

The provider's business location address is:

1213 N GLENN ENGLISH ST
CORDELL, OK
ZIP 73632-009
Phone: (580) 832-3714
Fax: (580) 832-3331

The provider's authorized official is Chris Johnson .
The authorized official title is Pharmacy Manager and has the following contact phone number (580) 832-3714.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 2/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy33-7414OKLAHOMAYes
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12154068OTHERPK
2200608360AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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