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Pawhuska Ihs Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Pawhuska, Oklahoma
NPI 1952303190

Pawhuska Ihs Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Dallas, OK. Pawhuska Ihs Pharmacy practices in Pawhuska, OK. The NPI Number for Pawhuska Ihs Pharmacy is 1952303190 and holds a License No. 162939 (Oklahoma).

The current practice location address for Pawhuska Ihs Pharmacy is 715 Grandview Ave, Pawhuska, OK and can be reached out via phone at 918-287-4491 and via fax at 918-287-2347.

Location: 715 Grandview Ave, Pawhuska, OK, 75267-6748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952303190
Provider Name
Pawhuska Ihs Pharmacy
Credential
Provider Entity Type
Organization
Address
715 Grandview Ave, Pawhuska, OK, 75267-6748
Phone Number
918-287-4491
Fax Number
918-287-2347
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100231960F 05 OK
3717925 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
715 Grandview Ave
City
Pawhuska
State
Oklahoma
Zip
74056-3201
Phone Number
918-287-4491
Fax Number
918-287-2347
person
Provider Business Mailing Address Details
Address
715 Grandview Ave
City
Pawhuska
State
Oklahoma
Zip
74056-3201
Phone Number
918-287-4491
Fax Number
918-287-2347
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
162939 (Oklahoma)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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