Organization · Type 2 NPI

Good Shepherd Community Clinic, Inc.

Clinic Pharmacy · Ardmore, OK

NPI number 1316529803 Active

Practice location

1104 Walnut Dr W
Ardmore, OK 73401

Call (580) 226-0543 Map

Mailing address

20 12th Ave NW
Ardmore, OK 73401-5722

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Other clinic pharmacy providers in Ardmore

Good Shepherd Community Clinic, IncClinic Pharmacy Ardmore, OK NPI 1730539487

See all in Ardmore →

NPI record

NPI: 1316529803
Entity type: Organization (Type 2)
Issued: Apr 23, 2021
Last updated: Apr 23, 2021
Status: Active
Subpart: Yes of Good Shepherd Community Clinic, Inc.

Other names

Good Shepherd Community Clinic Pharmacy Walnut · doing business as

Authorized official

Teresa Myers
CEO
(580) 223-3411

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316529803

Good Shepherd Community Clinic, Inc.'s National Provider Identifier is 1316529803, issued on Apr 23, 2021. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Ardmore, OK. The record was last updated on Apr 23, 2021.