| NPI | 1639472970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAUGHERTY Area Director 405-951-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 83491) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |