Wyandotte Nation

NPI 1033462593 - Pharmacy - 3336C0003X

NPI Details
NPI 1033462593
Enumeration Date 10/22/2012
Last Updated 07/07/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEANA GAYLE DEANA
Position PHARMACIST-IN-CHARGE
Phone (918) 678-2282
Fax (918) 678-3136
Practice Location
1 TURTLE DRIVE
WYANDOTTE OK, 74370-2114, US
Phone (918) 678-2282
Fax (918) 678-3136
Business Location
1 TURTLE DRIVE
WYANDOTTE OK, 74370-2114, US
Phone (918) 678-2282
Fax (918) 678-3136
Toxanomy
Taxonomy Code 3336C0003X
License State Oklahoma
License Number 21-6044
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According to our database, Wyandotte Nation NPI is 1033462593, taxonomy code is 3336C0003X and license number is 21-6044, license state is located at Oklahoma. Wyandotte Nation physically located at 1 Turtle Drive, Wyandotte OK, 74370-2114. NPI Number 1033115704 has the healthcare provider type.

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1033462593 NPI number is provided on an as is basis without warranty of any kind. 1033462593 is maintained by the National Plan & Provider Enumeration System. The contents of Wyandotte Nation are for informational purposes only.