Organization
STATE OF OKLAHOMA
Active
Other names
Claremore Veterans Center
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS VEITCH (IT STRATEGIST)
(405) 523-4091
Entity
Organization
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
(918) 342-5432
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
(918) 342-5432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
29-3298
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176128
PK
—
Enumeration date
05/19/2008
Last updated
07/19/2018
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