NPI | 1538219431 |
---|---|
Doing Business As | CLINTON IHS PHARMACY |
Entity Type | Organization |
Authorized Contact | BRETT JOSEPH WHITEHEAD Chief Of Pharmacy 405-234-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 281620) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2017-01-24 |