NPI | 1851448526 |
---|---|
Doing Business As | CHOCTAW NATION RUBIN WHITE POTEAU CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | TODD A HALLMARK Executive Officer Dept Of Health 918-567-7115 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
261Q00000X Clinic/Center | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2025-08-08 |