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Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
PURCELL INDIAN HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH WILLIAMS DPH (PHARMACIST)
(580) 436-3980
Entity
Organization
Contact information
Practice address
1438 HARDCASTLE BLVD, PURCELL, OK 73080-8233
(580) 272-5710
(580) 272-5711
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 421-4597
(580) 421-4598
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
474906
OK
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100689860C
—
OK
01
—
2076971
PK
—
Enumeration date
03/20/2007
Last updated
02/15/2017
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