Organization
USPHS/IHS/WEWOKA INDIAN HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON MICHELLE LOWE PHARMD (ASSISTANT DIRECTOR OF PHARMACY)
(405) 257-7361
Entity
Organization
Contact information
Practice address
36640 HWY 270, WEWOKA, OK 74884-1475
(405) 257-7361
(405) 257-3344
Mailing address
PO BOX 1475, WEWOKA, OK 74884-1475
(405) 257-7361
(405) 257-3344
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
14343
OK
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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