Black Oak Pharmacy is an authorized DME supplier for medicare equipments and products.
Black Oak Pharmacy is a Community/Retail Pharmacy in Medford, Oregon. This pharmacy is owned and operated by Central Drug Store Inc. It is located at 2924 Siskiyou Blvd, Ste 102, Medford and it's customer support contact number is 541-773-5356. The authorized person of Black Oak Pharmacy is Timothy Lichlyter who is President of the pharmacy and his contact number is 541-773-5356. Active license number of Black Oak Pharmacy is RP-0000767 for Community/Retail Pharmacy in Oregon. Black Oak Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Black Oak Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Black Oak Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Timothy Lichlyter
Position:
President
Contact Number:
541-773-5356
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1780738138
NPI Enumeration Date:
23 Jan, 2007
NPI Last Update On:
26 Aug, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Black Oak Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
RP-0000767
Oregon
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04255554XI
Medicaid
California
2077225
Other
Pk
013524
Medicaid
Oregon
Medicare Enrollment:
Black Oak Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
6608895735
O20100930012934
Central Drug Store Inc
DME SUPPLIER - PHARMACY
Products Available:
Black Oak Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Power Operated Vehicles (scooters)
Seat Lift Mechanisms
Surgical Dressings
Urological Supplies
Walkers
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 9830, Salt Lake City, Utah
Zip:
84109-9830
Phone Number:
877-540-4748
Fax Number:
801-716-4872
Patients can reach Black Oak Pharmacy at 2924 Siskiyou Blvd, Ste 102, Medford, Oregon or can call on customer care at 541-773-5356.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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