Organization

Gln Of Checotah Inc

May also be knows as Nichols Pharmacy

Community/Retail Pharmacy in Checotah, OK(View on Map)

Legal Business Name

Gln Of Checotah Inc

Also Known As

Nichols Pharmacy

NPI Number

1154416162

NPI Type

Organization

Enumeration Date

10/04/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X

Primary Taxonomy

Yes
No

Licenses

State

Oklahoma

License Number

483935

Contact
Information

Purpose

Mailing
Location

Address

207 N BROADWAY ST
207 N BROADWAY ST

City

Checotah
Checotah

State

OK
OK

Postal Code

74426-2431
74426-2431

Country

US
US

Telephone Number

(918) 473-2304
(918) 473-2304

Authorized Official

Name

Dr. Amy Garrett

Title or Position

PHARMACY MANAGER

Telephone Number

(918) 473-2304

Identifiers

Identifier

100243600A

Identifier State

OK

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2011

Provider Address

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