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PICKETTS CLINIC PHARMACY INC NPI 1356370175


NPI Information

NPI: 1356370175
Provider Name: PICKETTS CLINIC PHARMACY INC

Doing Business As: CLINIC PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
205 S PARK LN
STE 110
ALTUS, OK
ZIP 73521
Phone: (580) 482-6464
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PICKETTS CLINIC PHARMACY INC is a community/retail pharmacy pharmacy in Altus, 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. PICKETTS CLINIC PHARMACY INC NPI is 1356370175. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinic Pharmacy.

The provider's business location address is:

205 S PARK LN
STE 110
ALTUS, OK
ZIP 73521-755
Phone: (580) 482-6464
Fax: (580) 480-3114

The provider's authorized official is David Pickett .
The authorized official title is Owner/pharm and has the following contact phone number (580) 482-6464.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 5/28/2019.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy174101OKLAHOMAYes

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
12073948OTHERPK
2100238530AMEDICAIDOKLAHOMA

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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