# OKLAHOMA DEPARTMENT OF VETERANS NORMAN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ardmore Veterans Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972000628
- **Authorized official:** TINA WILLIAMS (COMPLIANCE DIRECTOR)
- **Authorized official phone:** (405) 523-4000

## Contact information

- **Practice address:** 1015 S COMMERCE ST, ARDMORE, OK 73401-5018
- **Practice address phone:** (580) 223-2266
- **Practice address fax:** (580) 223-2266
- **Mailing address:** 1015 S COMMERCE ST, ARDMORE, OK 73401-5018
- **Mailing address phone:** (580) 223-2266
- **Mailing address fax:** (580) 223-2266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 12-2534 | OK | Yes |

## Other

- **Enumeration date:** 04/10/2018
- **Last updated:** 04/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2175900 | PK | — |