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Carnegie Indian Hlth Clnc Pharmacy

Carnegie Indian Hlth Clnc Pharmacy is a health care provider in Dallas, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Us Hwy 9 West, Carnegie, OK 73015, US
Practice Location Phone580-654-1100
Practice Location Fax580-654-2533
Legal Business NameCARNEGIE INDIAN HLTH CLNC PHARMACY
Other Organization NameCARNEGIE INDIAN HEALTH CLINIC PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1699825489
Entity TypeOrganization
Enumeration Date ? Jan 12, 2007
Last Update Date ? Sep 22, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Carnegie Indian Hlth Clnc Pharmacy

SpecialtySpecializationLicenseLicense State
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 20-3906Oklahoma

legacy-id-icon Legacy Provider IDs of Carnegie Indian Hlth Clnc Pharmacy

Provider IdIssuer StateIssuer TypeIssuer
2076412OtherPK
100231960DOklahomaMedicaid
10023196DOklahomaMedicaid

official-icon Authorized Official of Carnegie Indian Hlth Clnc Pharmacy

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Carnegie Indian Hlth Clnc Pharmacy's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Tracie Patten (PHARMD)
Authorized Official Title/PositionAREA PHARMACY CONSULTANT
Authorized Official Phone Number405-951-6035