Heartlandrxok, LLC
Organization Active NPI Community/Retail Pharmacy · Meeker, OK
NPI 1124537014 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1124537014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 31-8035 (OK)
- Legal business name
- HEARTLANDRXOK, LLC
- Practice address
- 501 W Carl Hubbell Blvd
Meeker, OK 74855-9119 - Phone
- (405) 279-1043
- Fax
- (405) 279-1058
- NPI assigned
- Sep 24, 2017
- Organization subpart
- No
Authorized official
- Name
- Mike D Miller
- Title
- President/Owner
- Phone
- (405) 659-2784
National Provider Directory
Locations
501 W Carl Hubbell Blvd
Meeker, OK 74855
Phone (405) 279-1043
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 31-8035 | OK | Yes |
Addresses
Primary practice location
501 W Carl Hubbell Blvd
Meeker, OK 74855-9119
Mailing address
501 W Carl Hubbell Blvd
Meeker, OK 74855-9119
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200732050A | Medicaid | OK |
Other names
- Heartland Pharmacy
Other providers in Meeker, OK
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- Gloria Jean Cloke
- Travis Alwin Crowe
- Eagle Medical Transport LLC
- First Choice Patient Care LLC
- JJJ Therapy Services, LLC
- Kylye Ann Jones
- Meeker North Dawson Nursing, LLC
- Meeker Public Schools
- Bridget Moore
All providers in Meeker, OK · Community/Retail Pharmacy in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.