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Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
Chickasaw Nation Refill Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH WILLIAMS RPH (PHARMACIST)
(580) 272-5710
Entity
Organization
Contact information
Practice address
933 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 272-5710
(580) 272-5711
Mailing address
933 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 272-5710
(580) 272-5711
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
235613
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024620A
—
OK
01
—
2076080
PK
—
Enumeration date
12/12/2006
Last updated
03/09/2016
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