Organization
HARRISON DISCOUNT PHARMACY PLLC
Active
Other names
HARRISON DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NICKLAS (OWNER)
(405) 273-9906
Entity
Organization
Contact information
Practice address
1442 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 273-9906
(405) 273-4329
Mailing address
1442 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 273-9906
(405) 273-4329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
104728
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239400A
—
OK
01
—
2074147
PK
—
Enumeration date
10/26/2006
Last updated
02/17/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up