Organization
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Active
Other names
NORTHWEST CENTER FOR BEHAVIORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN SCHMIDT DPH (DIRECTOR OF PHARMACY)
(580) 766-2311
Entity
Organization
Contact information
Practice address
193461 E CT RD 304, FORT SUPPLY, OK 73841-0001
(580) 766-2311
(580) 766-2316
Mailing address
PO BOX 1, FORT SUPPLY, OK 73841-0001
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
44-2593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100704080A
—
OK
05
—
100704080B
—
OK
01
—
2074624
PK
—
Enumeration date
09/28/2007
Last updated
12/08/2023
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