| Osu University Health Services Pharmacy | |
|
1202 W Farm Rd Stillwater OK 74078-2036 | |
| (405) 744-7665 | |
| (405) 744-2136 |
| Full Name | Osu University Health Services Pharmacy |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1202 W Farm Rd, Stillwater, Oklahoma |
| Authorized Official Name and Position | Jack Henneha (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 4057447665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu University Health Services Pharmacy 1202 W Farm Rd Stillwater OK 74078-2036 Ph: (405) 744-7025 | Osu University Health Services Pharmacy 1202 W Farm Rd Stillwater OK 74078-2036 Ph: (405) 744-7665 |
| NPI Number | 1598827776 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598827776 | NPI | - | NPPES |
| 736017987 | Other | OK | FEDERAL TAX ID |
| 100757330F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 8-3015 (Oklahoma) | Primary |
| 333600000X | Pharmacy | (* (Not Available)) | Secondary |
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