Newman Medical Center Pharmacy Inc
Organization Active NPI Clinic Pharmacy · Shattuck, OK
NPI 1366515926 · NPPES record last updated May 25, 2016
Key facts
- NPI
- 1366515926
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic Pharmacy 3336C0002X
- License
- 755174 (OK)
- Legal business name
- NEWMAN MEDICAL CENTER PHARMACY INC
- Practice address
- 905 S Main St
Shattuck, OK 73858-9205 - Phone
- (580) 938-5127
- Fax
- (580) 938-2498
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- John Herber
- Title
- Owner and Pharmacist
- Phone
- (580) 938-5127
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 755174 | OK | Yes |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
905 S Main St
Shattuck, OK 73858-9205
Mailing address
905 S Main St
Shattuck, OK 73858-9205
Phone (580) 938-5127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2073251 | Other | PK | |
| 90003901428 | Medicaid | OK |
Other names
- NEWMAN MEDICAL CENTER PHARMACY
Other providers in Shattuck, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. 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.