DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COLLINSVILLE FAMILY PHARMACY LC

MEDICARE: COLLINSVILLE FAMILY PHARMACY LC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336L0003XLong Term Care Pharmacy
43336C0003XCommunity/Retail Pharmacy26388OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12081529OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336185222
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLINSVILLE FAMILY PHARMACY LC
Provider Business Mailing Address
First Line : 1205 W MAIN ST STE A
Second Line :
City : COLLINSVILLE
State : OK
Zip : 74021-3114
Country : US
Telephone Number : 918-371-2547
Fax Number : 918-371-0268
Provider Business Practice Location Address
First Line : 1205 W MAIN ST STE A
Second Line :
City : COLLINSVILLE
State : OK
Zip : 74021-3114
Country : US
Telephone Number : 918-371-2547
Fax Number : 918-371-0268
Authorized Official
Title or Position : PHARMACIST AND OWNER
Name : COLTON B TURNBULL
Credential :
Telephone Number : 918-371-2547
Provider Enumeration Date : 06/21/2006
Last Update Date : 07/08/2020

Similar Medicare Providers

1801890454 — DR. JERRY D. PATTON DO
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-938-0040
Practice Fax: 918-938-0056
1578544086 — DR. JERRY C CRAIN D.O.
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-371-5885
Practice Fax: 918-371-0584
1699756957 — DR. FRED M INGRAM D.O.
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-371-5885
Practice Fax: 918-371-5986
1114085214 — SHERRI LAVERNE CLARK DPH
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-371-2547
Practice Fax: 918-371-0268
1619035722 — AL THARYN NACTHIGALL DPH
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-371-2547
Practice Fax: 918-371-0268
1235259573 — COLLINSVILLE FAMILY CLINIC, INC.
Practice Location Address:
1205 W MAIN ST
COLLINSVILLE, OK
74021-3114
Practice Phone: 918-371-6022
Practice Fax: 918-371-3168

Directions to “COLLINSVILLE FAMILY PHARMACY LC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.