DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHICKASAW NATION DIVISION OF HEALTH

MEDICARE: CHICKASAW NATION DIVISION OF HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy474906OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12076971OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396860003
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICKASAW NATION DIVISION OF HEALTH
Provider Business Mailing Address
First Line : 1921 STONECIPHER DR
Second Line :
City : ADA
State : OK
Zip : 74820-3439
Country : US
Telephone Number : 580-421-4597
Fax Number : 580-421-4598
Provider Business Practice Location Address
First Line : 1438 HARDCASTLE BLVD
Second Line :
City : PURCELL
State : OK
Zip : 73080-8233
Country : US
Telephone Number : 580-272-5710
Fax Number : 580-272-5711
Authorized Official
Title or Position : PHARMACIST
Name : ZACH WILLIAMS
Credential : DPH
Telephone Number : 580-436-3980
Provider Enumeration Date : 03/20/2007
Last Update Date : 02/15/2017

Similar Medicare Providers

1619954682 — BRIAN JOACHIMS MD
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax: 580-272-5711
1932187382 — SHAWN BRIDWELL PA
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax: 405-527-4903
1982764395 — CHICKASAW NATION DIVISION OF HEALTH
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax: 580-421-4552
1306903315 — LARRY SHARP D.O.
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax:
1720102049 — CARRIE LAW
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax: 580-559-0610
1558481812 — KELLY TATE
Practice Location Address:
1438 HARDCASTLE BLVD
PURCELL, OK
73080-8233
Practice Phone: 405-527-4700
Practice Fax: 580-559-0610

Directions to “CHICKASAW NATION DIVISION OF HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.