Chickasaw Nation Division of Health

NPI #1669597027 in Ardmore, Oklahoma

Provider Information

NPI Number: 1669597027
Entity Type: Organization
Organization Name: Chickasaw Nation Division of Health
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Mar 21, 2007
Last Updated: Aug 19, 2016

Practice Location

Address: 2510 CHICKASAW BLVD
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1341
Phone: (580) 272-5710

Authorized Official

Name: ZACH WILLIAMS, DPH
Title: PHARMACIST
Phone: (580) 272-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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