# BEAVER COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COMMUNITY PHARMACY (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376389841
- **Authorized official:** ALISSA SCHLESSMAN (PIC)
- **Authorized official phone:** (580) 625-4551

## Contact information

- **Practice address:** 212 E 8TH ST, BEAVER, OK 73932-3184
- **Practice address phone:** (580) 625-3646
- **Practice address fax:** (580) 625-3844
- **Mailing address:** PO BOX 640, BEAVER, OK 73932-0640
- **Mailing address phone:** (580) 625-3646
- **Mailing address fax:** (580) 625-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2024
- **Last updated:** 07/03/2024