NPI | 1497791859 |
---|---|
Doing Business As | WILMA P MANKILLER HEALTH CENTER RX |
Entity Type | Organization |
Authorized Contact | DAVID MCGEHEE Senior Director Of Pharmacy Service 539-234-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 46-3911) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2025-01-15 |