CITIZAN POTAWATOMI NATION MAIL ORDER PHARMACY
Medical Equipment Supplier Yellow Pages
Shawnee, Oklahoma
Provider NPI: 1265474662
Organization Information:Organization Name: CITIZAN POTAWATOMI NATION MAIL ORDER PHARMACY
Practice Location:
2307 GORDON COOPER DR STE A SHAWNEE, OK 74801 US
Tel: 405-273-5236 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2307 GORDON COOPER DR STE A SHAWNEE, OK 74801 US
Tel: 405-273-5236 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336M0002X | Suppliers Pharmacy | OK | 10-5052 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2077052 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin