Organization
US DEPT OF JUSTICE
Active
Other names
Federal Correctional Institution El Reno, Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA LOPEZ (CHIEF PHARMACIST)
(405) 319-7519
Entity
Organization
Contact information
Practice address
4205 E HIGHWAY 66, EL RENO, OK 73036-9701
(405) 319-7519
(405) 319-7680
Mailing address
PO BOX 1000, EL RENO, OK 73036-1000
(405) 319-7519
(405) 319-7680
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3726075
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/31/2010
Last updated
05/19/2010
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