CYBER PHARMACY LLC NPI 1154478212

NPI Information

NPI: 1154478212
Provider Name: CYBER PHARMACY LLC

Doing Business As: LEGEND CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
2600 TECHNOLOGY PL
NORMAN, OK
ZIP 73071
Phone: (405) 321-5300
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CYBER PHARMACY LLC is a long term care pharmacy pharmacy in Norman, OK. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. CYBER PHARMACY LLC NPI is 1154478212. The provider is registered as an organization entity type.
The provider Is Doing Business As Legend Care Pharmacy.

The provider's business location address is:

2600 TECHNOLOGY PL
NORMAN, OK
ZIP 73071-129
Phone: (405) 321-5300
Fax: (405) 321-5352

The provider's authorized official is Dow Classen .
The authorized official title is Pharmacy Manager and has the following contact phone number (405) 321-5300.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/23/2017.

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
1	333600000X	Pharmacy				No
2	3336C0004X	Pharmacy	Compounding Pharmacy			No
3	3336I0012X	Pharmacy	Institutional Pharmacy			No
4	3336L0003X	Pharmacy	Long Term Care Pharmacy	75767	OKLAHOMA	Yes
5	3336M0003X	Pharmacy	Managed Care Organization Pharmacy			No
6	3336S0011X	Pharmacy	Specialty Pharmacy			No

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
1	2076243	OTHER		PK
2	100246250A	MEDICAID	OKLAHOMA

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: 4/28/2024

NPI Synchronization or Removal

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