| NPI | 1063093185 |
|---|---|
| Doing Business As | AST LITTLE AXE HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK ROGERS Executive Director 405-447-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-03-16 |