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Organization
CHOCTAW NATION OF OKLAHOMA
Active
Organization
CHOCTAW NATION OF OKLAHOMA
Active
Other names
ChoctawNation Health System Durant Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TODD A HALLMARK (EXECUTIVE OFFICER - HEALTH)
(918) 567-7115
Entity
Organization
Contact information
Practice address
1801 CHUKKA HINA, DURANT, OK 74701
(580) 920-2100
(918) 567-7180
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
276867
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100244980S
—
OK
05
—
100244980V
—
OK
01
—
2148099
PK
—
01
—
27-6867
STATE BOARD OF PHARMACY
OK
01
—
27-7805
STATE BOARD OF PHARMACY
OK
01
—
3728334
NCPDP
—
Enumeration date
07/14/2014
Last updated
06/03/2026
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