CHOCTAW NATION OF OKLAHOMA

POTEAU, OK
NPI1851448526
Doing Business AsCHOCTAW NATION RUBIN WHITE POTEAU CLINIC PHARMACY
Entity TypeOrganization
Authorized ContactTERESA K JACKSON
Administrator
918-567-7000
Organization Subpart ?No
Primary Taxonomy332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
(Licence: OK  19-5161)
Additional Taxonomies261Q00000X Clinic/Center
(Licence: OK  19-3887)
Enumeration Date2007-01-04
Last Update Date2013-05-07
Business Address
CHOCTAW NATION OF OKLAHOMA
109 KERR AVE
POTEAU, OK 74953-5270
Phone number: 918-567-7096
Mailing Address
CHOCTAW NATION OF OKLAHOMA
109 KERR AVE
POTEAU, OK 74953-5270
Phone number: 918-567-7096