| NPI | 1457447609 |
|---|---|
| Other Name | IHCRC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARMELITA SKEETER CEO 918-382-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |