Edrei, Llc. is a Pharmacy in Stillwater, Oklahoma. Edrei, Llc. practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Edrei, Llc. is 1053418996. The last update date is 2021-12-02.
Edrei, Llc.'s current location address is 1721 W 6th Ave, Stillwater, Oklahoma. You can contact this provider via phone number 4053723331 and fax number 4053723547. The mailing address for Edrei, Llc. is 1721 W 6th Ave, Stillwater, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edrei, Llc. |
|---|---|
| Address | 1721 W 6th Ave, Stillwater, Oklahoma |
| Phone Number | 4053723331 |
| Fax Number | 4053723547 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER/MAN |
|---|---|
| Authorized Official Name | Hladik Lisa |
| Telephone Number | 4053723331 |
NPI Number Detail
| NPI Number | 1053418996 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2021-12-02 |
Provider Mailing Address Detail
| Address | 1721 W 6th Ave |
|---|---|
| City | Stillwater |
| State | Oklahoma (OK) |
| Post Code | 740744200 |
| Phone Number | 4053723331 |
| Fax Number | 4053723547 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074050 | PK | ||
| 200725050A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edrei, Llc. by the Centers for Medicare & Medicaid Services?
The Edrei, Llc. has been assigned the NPI (National Provider Identifier) 1053418996. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edrei, Llc. located?
The Edrei, Llc. is located at 1721 W 6Th Ave, Stillwater, OK 740744200.
What is the Edrei, Llc.'s specialty and taxonomy code?
The Edrei, Llc.'s specialty is Pharmacy, and the corresponding taxonomy code is 333600000X.
On what date was the 1053418996 assigned to Edrei, Llc.?
The Edrei, Llc. was issued its 1053418996 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Edrei, Llc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edrei, Llc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-02.