Organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Active
Parent organization
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Other names
Oklahoma City Indian Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
Authorized official
MS. ROBYN R SUNDAY-ALLEN RN, MPH (CHIEF EXECUTIVE OFFICER)
(405) 948-4900
Entity
Organization
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4929
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4929
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
Primary
14183
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243180A
—
OK
Enumeration date
08/23/2005
Last updated
08/12/2020
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