| NPI | 1114087350 |
|---|---|
| Doing Business As | CHICKASHA CLINIC PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | JULIE JUSTICE Authorized Agent 405-447-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 18-5929) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-06-08 |