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SOVEREIGN PHARMACY SOLUTIONS LLC NPI 1710249628

NPI Profile

NPI: 1710249628

Provider Name: SOVEREIGN PHARMACY SOLUTIONS LLC

Doing Business As: SOVEREIGN PHARMACY SOLUTIONS & FINE GIFTS

Classification: Pharmacy - 333600000X

Entity Type: Organization

Address:
1007 N COUNTRY CLUB RD
ADA, OK
ZIP 74820

Phone: (580) 421-8775

SOVEREIGN PHARMACY SOLUTIONS LLC is a pharmacy in Ada, OK. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOVEREIGN PHARMACY SOLUTIONS LLC NPI is 1710249628. The provider is registered as an organization entity type.
The provider Is Doing Business As Sovereign Pharmacy Solutions & Fine Gifts.

The provider's business location address is:

1007 N COUNTRY CLUB RD
ADA, OK
ZIP 74820-847
Phone: (580) 421-8775
Fax: (580) 421-8789

The provider's authorized official is Lisa Fillmore Fillmore .
The authorized official title is Pharmacist In Charge and has the following contact phone number (580) 421-8733.

The enumeration date for this NPI number is 6/15/2012 and was last updated on 1/21/2014.

Map - Location of Practice

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 3336C0003X Pharmacy Community/Retail Pharmacy 23-5966 OKLAHOMA Yes

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: 6/10/2015