| NPI | 1033229992 |
|---|---|
| Doing Business As | OKEMAH COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DUSTY ALLEN Pharmacy Billing And Contract Mgr 918-756-9909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 51-4259) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-02-15 |