Chickasaw Nation Division of Commerce

NPI #1093183014 in Ada, Oklahoma

Provider Information

NPI Number
1093183014
Entity Type
Organization
Organization Name
Chickasaw Nation Division of Commerce
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 8, 2015
Last Updated
Sep 8, 2015

Practice Location

Address
1005 N COUNTRY CLUB RD
City
Ada
ZIP Code
74820-2847
Phone
(580) 332-2796

Authorized Official

Name
CHRIS THARP
Title
EXECUTIVE OFFICER
Phone
(580) 421-8777

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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