NPI 1003998980

Central Oklahoma Family Medical Center INC

Organisation Community/Retail Pharmacy Konawa, OK

Practice location

Address: 527 W 3rd St, Konawa, OK 74849-1415
Phone: (580) 925-8911
Fax: (580) 925-8920
Mailing address: PO Box 358, Konawa, OK 74849-0358

Authorised official

Name: Blake Worlund
Title: Pic
Phone: (580) 925-8911

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 244685 (OK)

Other Pharmacy providers in Oklahoma →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1003998980
Entity type: Organization
NPI issued: 19 Oct 2006
Record last updated: 15 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.