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Organization
FARMERS UNION HOSPITAL ASSOCIATION
Active
Organization
FARMERS UNION HOSPITAL ASSOCIATION
Active
Other names
Great Plains Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GARNER (DIR OF PHARMACY)
(580) 821-5579
Entity
Organization
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5390
(580) 821-5568
Mailing address
PO BOX 2339, ELK CITY, OK 73648-2339
(580) 225-2511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
35-5427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176236
PK
—
Enumeration date
02/12/2018
Last updated
04/23/2018
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