Chickasaw Nation Employee Clinic Pharmacy- Norman
LBN: The Chickasaw Nation Employee Clinic Pharmacy- Ada
Chickasaw Nation Employee Clinic Pharmacy- Norman is an health care organization with primary practice located at 1007 N Country Club Rd , Ada OK 74820-2847. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Chickasaw Nation Employee Clinic Pharmacy- Ada can be contacted via phone (580) 421-8775, or through Sellers, Thomas Duane via phone (580) 235-6419.
Contact Information
Primary practice address
1007 N Country Club Rd
Ada OK 74820-2847
Phone: (580) 421-8775
Fax: (580) 421-8789
Website:
Authorized official contact:
Name: Sellers, Thomas Duane Doctor of Public Health (DPH)
Phone: (580) 235-6419
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1710249628 |
|---|---|
| LBN Legal business name | The Chickasaw Nation Employee Clinic Pharmacy- Ada |
| DBA Doing business as | Chickasaw Nation Employee Clinic Pharmacy- Norman |
| Authorized official | Sellers, Thomas Duane Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2012 |
| Last updated | Jun 17th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710249628 | NPPES |
| Oklahoma | MEDICAID | 200436850A | |
| Oklahoma | Other | 2135608 |
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