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Organization
MEDICAL CENTER OF SOUTHEAST OKLAHOMA
Active
Organization
MEDICAL CENTER OF SOUTHEAST OKLAHOMA
Active
Other names
MEDICAL CENTER OF SE OKLAHOMA
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HARMS (PHCY DIR)
(580) 924-3080
Entity
Organization
Contact information
Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 920-0119
Mailing address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 920-0119
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
274441
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100696610B
—
OK
01
—
3720249
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2006
Last updated
06/09/2010
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