Organization
NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
Active
Other names
NeoHealth Hulbert Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ROSENTHAL (CEO)
(918) 772-3390
Entity
Organization
Contact information
Practice address
131 E MAIN ST, HULBERT, OK 74441-8901
(918) 772-2727
(918) 772-6131
Mailing address
131 E MAIN ST, HULBERT, OK 74441-8901
(918) 772-2727
(918) 772-6131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
36-5888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134074
PK
—
Enumeration date
04/04/2011
Last updated
01/18/2017
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