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Organization
IOWA TRIBE OF OKLAHOMA
Active
Organization
IOWA TRIBE OF OKLAHOMA
Active
Other names
PERKINS FAMILY CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DAWN DAUGHERTY (DIRECTOR OF HEALTH)
(405) 547-2473
Entity
Organization
Contact information
Practice address
509 E HIGHWAY 33, PERKINS, OK 74059-4129
(405) 547-2473
(405) 547-2925
Mailing address
PO BOX 460, PERKINS, OK 74059-0460
(405) 547-2473
(405) 547-2925
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
8-5151
OK
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707800B
—
OK
01
—
2077058
PK
—
Enumeration date
07/24/2006
Last updated
09/18/2019
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