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MUSTANG DRUG LLC NPI 1235688060


NPI Information

NPI: 1235688060
Provider Name: MUSTANG DRUG LLC

Doing Business As: MUSTANG DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2181975

Address:
103 E STATE HIGHWAY 152
MUSTANG, OK
ZIP 73064
Phone: (405) 256-0555
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MUSTANG DRUG LLC is a community/retail pharmacy pharmacy in Mustang, OK. 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. MUSTANG DRUG LLC NPI is 1235688060. The provider is registered as an organization entity type.
The provider Is Doing Business As Mustang Drug.

The provider's business location address is:

103 E STATE HIGHWAY 152
MUSTANG, OK
ZIP 73064-406
Phone: (405) 256-0555
Fax: (405) 256-0565

The provider's authorized official is Selma Alami .
The authorized official title is Co-owner/ Pharmacist-in-charge and has the following contact phone number (405) 256-0555.

The CLIA number assigned to this NPI record is 37D2181975 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2016 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
13336C0003XPharmacyCommunity/Retail PharmacyYes
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0004XPharmacyCompounding PharmacyNo

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
1200682900AMEDICAIDOKLAHOMA
22164331OTHERPK

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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