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BROKEN OAK LLC NPI 1548887771


NPI Information

NPI: 1548887771
Provider Name: BROKEN OAK LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
208 S MAIN ST
OMAK, WA
ZIP 98841
Phone: (509) 740-0833
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BROKEN OAK LLC is a community/retail pharmacy pharmacy in Omak, WA. 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. BROKEN OAK LLC NPI is 1548887771. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

208 S MAIN ST
OMAK, WA
ZIP 98841-755
Phone: (509) 740-0833

The provider's authorized official is April M Russell .
The authorized official title is Owner and has the following contact phone number (509) 740-0833.

The enumeration date for this NPI number is 7/3/2020 and was last updated on 7/3/2020.


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
1183700000XPharmacy TechnicianNo
2333600000XPharmacyNo
31835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
43336C0002XPharmacyClinic PharmacyNo
53336C0003XPharmacyCommunity/Retail PharmacyYes

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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