| NPI | 1811980154 |
|---|---|
| Doing Business As | OKLAHOMA CITY INDIAN CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBYN R SUNDAY-ALLEN Chief Executive Officer 405-948-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: OK 14183) |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-12 |