Organization
OKLAHOMA DEPARTMENT OF VETERANS NORMAN CENTER
Active
Other names
Ardmore Veterans Center
Organization subpart
No
Provider details
NPI number
Authorized official
TINA WILLIAMS (COMPLIANCE DIRECTOR)
(405) 523-4000
Entity
Organization
Contact information
Practice address
1015 S COMMERCE ST, ARDMORE, OK 73401-5018
(580) 223-2266
(580) 223-2266
Mailing address
1015 S COMMERCE ST, ARDMORE, OK 73401-5018
(580) 223-2266
(580) 223-2266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
12-2534
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175900
PK
—
Enumeration date
04/10/2018
Last updated
04/10/2018
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