Gln Of Checotah Inc in Checotah - Community/retail Pharmacy

Gln Of Checotah Inc - NPI 1154416162

Gln Of Checotah Inc is a Community/retail Pharmacy in Checotah, Oklahoma. Gln Of Checotah Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Gln Of Checotah Inc is 1154416162. The last update date is 2011-03-15.

Gln Of Checotah Inc's current location address is 207 N Broadway St, Checotah, Oklahoma. You can contact this provider via phone number 9184732304 and fax number 9184736133. The mailing address for Gln Of Checotah Inc is 207 N Broadway St, Checotah, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gln Of Checotah Inc
Address 207 N Broadway St, Checotah, Oklahoma
Phone Number 9184732304
Fax Number 9184736133
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHARMACY M
Authorized Official Name Garrett L. Amy
Credentials PHARM.D.
Telephone Number 9184732304

NPI Number Detail

NPI Number 1154416162
Provider Enumeration Date 2006-10-04
Last Updated Date 2011-03-15

Provider Mailing Address Detail

Address 207 N Broadway St
City Checotah
State Oklahoma (OK)
Post Code 744262431
Phone Number 9184732304
Fax Number 9184736133

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 483935
Definition:
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100243600A OK --

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FAQs about Gln Of Checotah Inc

What is the Gln Of Checotah Inc's 1154416162?

The Gln Of Checotah Inc's NPI (National Provider Identifier) Number is 1154416162. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Gln Of Checotah Inc located?

The Gln Of Checotah Inc is located at 207 N Broadway St, Checotah, OK 744262431.

What is the Gln Of Checotah Inc's specialty and taxonomy code?

The Gln Of Checotah Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

When was the Gln Of Checotah Inc's 1154416162 issued?

The Gln Of Checotah Inc's 1154416162 was issued on 2006-10-04.

As of what date were the details related to Gln Of Checotah Inc most recently updated or revised?

The information pertaining to Gln Of Checotah Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-15.

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