Organization
JACKSON COUNTY MEMORIAL HOSP PHCY
Active
Other names
JACKSON COUNTY MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RETA BENNETT DPH (DIR OF PHCY)
(580) 379-5708
Entity
Organization
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5700
(580) 379-5709
Mailing address
PO BOX 8190, ALTUS, OK 73522-8190
(580) 379-5700
(580) 379-5709
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
171259
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2072621
PK
—
Enumeration date
12/13/2006
Last updated
05/15/2026
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