Organization
CHICKASAW NATION DIVISION OF HEALTH
Active
Other names
Chickasaw Nation Refill Center
Organization subpart
No
Provider details
NPI number
Authorized official
ZACH WILLIAMS RPH (PHARMACIST)
(580) 272-5710
Entity
Organization
Contact information
Practice address
933 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 272-5710
(580) 272-5711
Mailing address
933 N COUNTRY CLUB RD, ADA, OK 74820-2845
(580) 272-5710
(580) 272-5711
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
235613
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024620A
—
OK
01
—
2076080
PK
—
Enumeration date
12/12/2006
Last updated
03/09/2016
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