| Ihcrc Pharmacy | |
|
550 S. Peoria Avenue Tulsa OK 74120-3825 | |
| (918) 588-1900 | |
| (918) 582-6405 |
| Full Name | Ihcrc Pharmacy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 550 S. Peoria Avenue, Tulsa, Oklahoma |
| Authorized Official Name and Position | Carmelita Skeeter (CEO) |
| Authorized Official Contact | 9183821201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ihcrc Pharmacy 550 S. Peoria Avenue Tulsa OK 74120-3825 Ph: (918) 588-1900 | Ihcrc Pharmacy 550 S. Peoria Avenue Tulsa OK 74120-3825 Ph: (918) 588-1900 |
| NPI Number | 1457447609 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457447609 | NPI | - | NPPES |
| 1427034958 | Other | OK | IHCRC NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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