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KENS RX DISCOUNT PHARMACY NPI 1366654675


NPI Information

NPI: 1366654675
Provider Name: KENS RX DISCOUNT PHARMACY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
802 W GORE BLVD
LAWTON, OK
ZIP 73501
Phone: (580) 353-4113
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KENS RX DISCOUNT PHARMACY is a pharmacy in Lawton, 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. KENS RX DISCOUNT PHARMACY NPI is 1366654675. The provider is registered as an organization entity type.

The provider's business location address is:

802 W GORE BLVD
LAWTON, OK
ZIP 73501-719
Phone: (580) 353-4113
Fax: (580) 357-3862

The provider's authorized official is Kenneth Royce Hawkins .
The authorized official title is Partner and has the following contact phone number (580) 353-4113.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies3-5058OKLAHOMANo
2333600000XPharmacy3-5058OKLAHOMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100239000BMEDICAIDOKLAHOMA
2423407OTHEROKLAHOMAMEDICARE ID-TYPE UNSPECIFIED

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

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