Organization
FARMERS UNION HOSPITAL ASSOCIATION
Active
Other names
Great Plains Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GARNER (DIR OF PHARMACY)
(580) 821-5579
Entity
Organization
Contact information
Practice address
1801 W 3RD ST, ELK CITY, OK 73644-5145
(580) 821-5390
(580) 821-5568
Mailing address
PO BOX 2339, ELK CITY, OK 73648-2339
(580) 225-2511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
35-5427
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176236
PK
—
Enumeration date
02/12/2018
Last updated
04/23/2018
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