Organization Name: | J & S BINGHAM LLC |
NPI Number: | 1073681896 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAWNA BINGHAM (OWNER) |
Mailing Address: | 810 E Main St Antlers |
State: | OK US |
Postal Code: | 745232661 |
Phone Number: | 5802983377 |
Fax Number: | 5802986260 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |