Haisten Enterprises PC

NPI #1225238447 in Pocola, Oklahoma

Provider Information

NPI Number
1225238447
Entity Type
Organization
Organization Name
Haisten Enterprises PC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 25, 2007
Last Updated
Jun 17, 2008

Practice Location

Address
102 E FOLSOM BLVD
City
Pocola
ZIP Code
74902-3150
Phone
(918) 436-2900

Authorized Official

Name
CLAY T HAISTEN
Title
OWNER
Phone
(918) 436-2900

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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