Wewoka Ihs Pharmacy

LBN: Wewoka Ihs Pharmacy
Wewoka Ihs Pharmacy is an health care organization with primary practice located at Intersection Of Hwy 56 And 270 , Wewoka OK 74884. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Wewoka Ihs Pharmacy can be contacted via phone (405) 257-6281, or through Patten, Tracie via phone (405) 951-6035.

Contact Information

Primary practice address
Intersection Of Hwy 56 And 270 Wewoka OK 74884
Fax: (405) 257-2696
Website:
Authorized official contact:
Name: Patten, Tracie PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 24-3295 Oklahoma

Profile Details

NPI number 1568512374
LBN Legal business name Wewoka Ihs Pharmacy
DBA Doing business as Wewoka Ihs Pharmacy
Authorized official Patten, Tracie PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Oct 19th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568512374 NPPES
Oklahoma MEDICAID 100231960J
Oklahoma MEDICAID 1100231960J
Oklahoma Other 2076399

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