NPI | 1124175518 |
---|---|
Doing Business As | CHOCTAW NATION HEALTH CLINIC-MCALESTER |
Entity Type | Organization |
Authorized Contact | TODD A HALLMARK Executive Director Dept Of Health 918-567-7115 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 15-5155) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OK 15-5155) |
3336S0011X Pharmacy, Specialty Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2025-08-08 |