Organization
LAPORTE PHARMACY INC
Active
Other names
LAPORTE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LAPORTE RPH (PHARM PRES AND CO OWNER)
(405) 853-2557
Entity
Organization
Contact information
Practice address
103 S MAIN ST, HENNESSEY, OK 73742-1402
(405) 853-2557
(405) 853-4600
Mailing address
PO BOX 216, HENNESSEY, OK 73742-0216
(405) 853-2557
(405) 853-4600
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
541454
OK
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234520A
—
OK
01
—
2072803
PK
—
Enumeration date
09/30/2006
Last updated
03/18/2015
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