# FAMILY HEALTH CENTER OF SOUTHERN OKLAHOMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Center of Southern Oklahoma Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427429687
- **Authorized official:** JOE DON BURNS DPH (PHARMACY DIRECTOR)
- **Authorized official phone:** (580) 371-2343

## Contact information

- **Practice address:** 610 E 24TH ST, TISHOMINGO, OK 73460-3245
- **Practice address phone:** (580) 371-0203
- **Practice address fax:** (580) 371-0205
- **Mailing address:** 610 E 24TH ST, TISHOMINGO, OK 73460-3245
- **Mailing address phone:** (580) 371-0203
- **Mailing address fax:** (580) 371-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | 61-7438 | OK | Yes |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 08/21/2024