BENT WILLOW INC NPI 1215079595

NPI Information

  • NPI: 1215079595
  • Provider Name: BENT WILLOW INC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: LAKESIDE PHARMACY
  • Address: 605 N MAIN ST
    EUFAULA, OK
    ZIP 74432
  • Phone: (918) 689-9940

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NPI Details

BENT WILLOW INC is a durable medical equipment medical supplies in Eufaula, OK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BENT WILLOW INC NPI is 1215079595. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeside Pharmacy.

The provider's business location address is:

605 N MAIN ST
EUFAULA, OK
ZIP 74432-634
Phone: (918) 689-9940
Fax: (918) 689-7557

The provider's authorized official is Larry Hoffman .
The authorized official title is President and has the following contact phone number (918) 689-9940.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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