| NPI | 1851448526 |
|---|---|
| Doing Business As | CHOCTAW NATION RUBIN WHITE POTEAU CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TERESA K JACKSON Administrator 918-567-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 19-5161) |
| Additional Taxonomies | 261Q00000X (Licence: OK 19-3887) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2013-05-07 |