SAC & FOX NATION
Medical Equipment Supplier Yellow Pages
Stroud, Oklahoma
Provider NPI: 1366455420
Organization Information:Organization Name: SAC & FOX NATION
Practice Location:
RR 2 BOX 247 STROUD, OK 74079 US
Tel: 918-968-9531 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:
RR 2 BOX 247 STROUD, OK 74079 US
Tel: 918-968-9531 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332800000X | Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100729660C | OK | 05 | |
NCPDP | 3723269 | OK | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin