Organization · Type 2 NPI

The Chickasaw Nation Employee Clinic Pharmacy- Ada

Community/Retail Pharmacy · Ada, OK

NPI number 1710249628 Active

Practice location

1007 N Country Club Rd
Ada, OK 74820-2847

Fax (580) 421-8789

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

13 other providers at this address

Other community/retail pharmacy providers in Ada

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NPI record

NPI: 1710249628
Entity type: Organization (Type 2)
Issued: Jun 15, 2012
Last updated: Jun 17, 2024
Status: Active

Other names

<unavail>
Chickasaw Nation Employee Clinic Pharmacy · doing business as
Chickasaw Nation Employee Clinic Pharmacy- Norman · doing business as
Chickasaw Nation Employee Clinic Pharmacy-Ada · doing business as

Authorized official

Mr. Thomas Duane Sellers, DPH
Director of Tribal Pharmacy Service
(580) 235-6419

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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 1710249628

The Chickasaw Nation Employee Clinic Pharmacy- Ada's National Provider Identifier is 1710249628, issued on Jun 15, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ada, OK. The record was last updated on Jun 17, 2024.