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Organization

MEDICAL CENTER OF SOUTHEAST OKLAHOMA

Active
Other names
MEDICAL CENTER OF SE OKLAHOMA
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HARMS (PHCY DIR)
(580) 924-3080
Entity
Organization

Contact information

Practice address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 920-0119
Mailing address
1800 W UNIVERSITY BLVD, DURANT, OK 74701-3006
(580) 924-3080
(580) 920-0119

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336I0012X
Institutional Pharmacy
Primary
274441
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100696610B
OK
01
3720249
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/21/2006
Last updated
06/09/2010
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