Parents Investment Corporation
Organization Active NPI Community/Retail Pharmacy · Mangum, OK
NPI 1821472739 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1821472739
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 60-7375 (OK)
- Legal business name
- PARENTS INVESTMENT CORPORATION
- Practice address
- 109 S Oklahoma Ave
Mangum, OK 73554-4219 - Phone
- (580) 782-2195
- Fax
- (580) 782-3485
- NPI assigned
- Jul 10, 2015
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Terry
- Title
- Owner
- Phone
- (580) 782-2195
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 60-7375 | OK | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
109 S Oklahoma Ave
Mangum, OK 73554-4219
Mailing address
109 S Oklahoma Ave
Mangum, OK 73554-4219
Phone (580) 782-2195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153943 | Other | PK | |
| 200609980A | Medicaid | OK |
Other names
- Bratton Drug
Other providers in Mangum, OK
- New Hope Cdu LLC
- New Hope Cdu, LLC
- Bryton Newton Newton
- Tammy Ochoa
- Nelson Simba Ogembo
- Teryl Pearson
- Halla R Powers
- Puckett Food Stores Inc
- Quartz Mountian Medical Center
- Anneliese Rogers
All providers in Mangum, 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 Oct 24, 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.