Organization
INDIAN HEALTH SERVICE-WEWOKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY FARRILL PHARM D. (CHIEF PHARMACIST)
(405) 257-7345
Entity
Organization
Contact information
Practice address
JCT HWYS 56 & 270, WEWOKA, OK 74884
(405) 257-7361
Mailing address
JCT HWYS 56 & 270, WEWOKA, OK 74848
(405) 257-7361
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
VA0202205912
VA
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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