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Organization

STATE OF OKLAHOMA

Active
Other names
Sulphur Veterans Center
Organization subpart
No

Provider details

NPI number
Authorized official
KRIS VEITCH (IT STRATEGIST)
(405) 523-4091
Entity
Organization

Contact information

Practice address
304 FAIRLANE AVE, SULPHUR, OK 73086-6861
(580) 622-7500
(580) 622-7500
Mailing address
304 FAIRLANE AVE, SULPHUR, OK 73086-6861
(580) 622-7500
(580) 622-7500

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
55-2200
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2175981
PK
Enumeration date
05/28/2008
Last updated
07/19/2018
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