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LAKE COUNTRY HEALTHCARE LLC NPI 1942215561


NPI Information

NPI: 1942215561
Provider Name: LAKE COUNTRY HEALTHCARE LLC

Doing Business As: LAKE COUNTRY HEALTHCARE LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
27753 S WELLING RD
WELLING, OK
ZIP 74471
Phone: (918) 457-9997
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LAKE COUNTRY HEALTHCARE LLC is a long term care pharmacy pharmacy in Welling, 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. LAKE COUNTRY HEALTHCARE LLC NPI is 1942215561. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Country Healthcare Llc.

The provider's business location address is:

27753 S WELLING RD
WELLING, OK
ZIP 74471-202
Phone: (918) 457-9997
Fax: (918) 457-5096

The provider's authorized official is Marsena Mcintosh .
The authorized official title is Manager and has the following contact phone number (918) 457-5535.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 12/16/2011.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy365591OKLAHOMAYes

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
13723625OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2200008180AMEDICAIDOKLAHOMA

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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