# JACKSON COUNTY MEMORIAL HOSP PHCY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JACKSON COUNTY MEMORIAL HOSPITAL PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518028380
- **Authorized official:** RETA BENNETT DPH (DIR OF PHCY)
- **Authorized official phone:** (580) 379-5708

## Contact information

- **Practice address:** 1200 E PECAN ST, ALTUS, OK 73521-6141
- **Practice address phone:** (580) 379-5700
- **Practice address fax:** (580) 379-5709
- **Mailing address:** PO BOX 8190, ALTUS, OK 73522-8190
- **Mailing address phone:** (580) 379-5700
- **Mailing address fax:** (580) 379-5709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 171259 | OK | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 05/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2072621 | PK | — |