# CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Pharmacy at Central Oklahoma Family Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205540101
- **Authorized official:** BRENDA WARE (CEO)
- **Authorized official phone:** (580) 925-3286

## Contact information

- **Practice address:** 2249 BOREN BLVD STE B, SEMINOLE, OK 74868-1927
- **Practice address phone:** (405) 683-7900
- **Practice address fax:** (405) 683-7888
- **Mailing address:** 527 W 3RD ST, KONAWA, OK 74849-1415
- **Mailing address phone:** (580) 925-3286
- **Mailing address fax:** (580) 925-2362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/06/2023