| NPI | 1639267065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DAWES Health Program Director 918-542-1655 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 21-4318) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-12-19 |