| NPI | 1538216205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A HALLMARK Executive Officer De PT Of Health 918-567-7115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 67-4362) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OK 67-4362) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-08-08 |