# FARMERS UNION HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great Plains Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265931612
- **Authorized official:** THERESA GARNER (DIR OF PHARMACY)
- **Authorized official phone:** (580) 821-5579

## Contact information

- **Practice address:** 1801 W 3RD ST, ELK CITY, OK 73644-5145
- **Practice address phone:** (580) 821-5390
- **Practice address fax:** (580) 821-5568
- **Mailing address:** PO BOX 2339, ELK CITY, OK 73648-2339
- **Mailing address phone:** (580) 225-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | 35-5427 | OK | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 04/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176236 | PK | — |