NPI | 1295142115 |
---|---|
Doing Business As | CHOCTAWNATION HEALTH SYSTEM DURANT HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | TODD A HALLMARK Executive Officer 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 276867) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2014-07-14 |
Last Update Date | 2025-08-08 |