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BLACKWELL PHARMACY LLC NPI 1548629579


NPI Information

NPI: 1548629579
Provider Name: BLACKWELL PHARMACY LLC

Doing Business As: HUTTON PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2181967

Address:
119 N MAIN ST
BLACKWELL, OK
ZIP 74631
Phone: (580) 363-2137
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BLACKWELL PHARMACY LLC is a community/retail pharmacy pharmacy in Blackwell, 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. BLACKWELL PHARMACY LLC NPI is 1548629579. The provider is registered as an organization entity type.
The provider Is Doing Business As Hutton Pharmacy.

The provider's business location address is:

119 N MAIN ST
BLACKWELL, OK
ZIP 74631
Phone: (580) 363-2137
Fax: (580) 363-5582

The provider's authorized official is David George .
The authorized official title is Co-owner and has the following contact phone number (580) 363-2137.

The CLIA number assigned to this NPI record is 37D2181967 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2016 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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0004XPharmacyCompounding 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
1200634910 AMEDICAIDOKLAHOMA
2200634910AMEDICAIDOKLAHOMA
32158214OTHERPK

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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