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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y3336M0002XSuppliers
Pharmacy
OK10-5052

Other Provider Identifiers:

IssuerNumberStateType
PK207705201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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