Organization
LENDELL HICKS
Active
Other names
RIDGECREST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LENDELL HICKS (PIC)
(405) 682-1648
Entity
Organization
Contact information
Practice address
8220 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-5230
(405) 682-1648
(405) 601-0794
Mailing address
8220 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73159-5230
(405) 682-1648
(405) 601-0794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1-3336
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3717052
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
90003917945
—
OK
Enumeration date
11/08/2006
Last updated
01/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us