Iowa Tribe of Oklahoma

NPI #1881616456 in Perkins, Oklahoma

Provider Information

NPI Number: 1881616456
Entity Type: Organization
Organization Name: Iowa Tribe of Oklahoma
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Jul 24, 2006
Last Updated: Sep 18, 2019

Practice Location

Address: 509 E HIGHWAY 33
City: Perkins
State: Oklahoma
ZIP Code: 74059-4129
Phone: (405) 547-2473

Authorized Official

Name: ANGELA DAWN DAUGHERTY
Title: DIRECTOR OF HEALTH
Phone: (405) 547-2473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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