| NPI | 1245843796 |
|---|---|
| Doing Business As | MCN RIVERWALK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAWN TERRY Secretary Of Health 918-756-9909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-10-31 |