GOOD SHEPHERD COMMUNITY CLINIC INC. NPI 1316529803

NPI Information

NPI: 1316529803
Provider Name: GOOD SHEPHERD COMMUNITY CLINIC, INC.
Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
1104 WALNUT DR W
ARDMORE, OK
ZIP 73401
Phone: (580) 226-0543
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GOOD SHEPHERD COMMUNITY CLINIC, INC. is a clinic pharmacy pharmacy in Ardmore, OK. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. GOOD SHEPHERD COMMUNITY CLINIC, INC. NPI is 1316529803. The provider is registered as an organization entity type.

The provider's business location address is:

1104 WALNUT DR W
ARDMORE, OK
ZIP 73401
Phone: (580) 226-0543

The provider's authorized official is Teresa Myers .
The authorized official title is Ceo and has the following contact phone number (580) 223-3411.

The enumeration date for this NPI number is 4/23/2021 and was last updated on 4/23/2021.

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
1	3336C0002X	Pharmacy	Clinic Pharmacy			Yes

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
1	12-8917	OTHER	OKLAHOMA	PHARMACY LICENSE

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

NPI Synchronization or Removal

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