# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Claremore Veterans Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003073040
- **Authorized official:** KRIS VEITCH (IT STRATEGIST)
- **Authorized official phone:** (405) 523-4091

## Contact information

- **Practice address:** 3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
- **Practice address phone:** (918) 342-5432
- **Practice address fax:** (918) 342-5432
- **Mailing address:** 3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
- **Mailing address phone:** (918) 342-5432
- **Mailing address fax:** (918) 342-5432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 29-3298 | OK | Yes |

## Other

- **Enumeration date:** 05/19/2008
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176128 | PK | — |