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Contact Information

JESSE KEITH, D.PH
3401 W GORE BLVD
LAWTON, OK73505-6300
 Phone: 580-250-5850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for

NPI Number 1053046987
Entity Organization
Organization subpart 1 Not specified
Enumeration date 07/25/2022
Last updated 07/25/2022 - About 4 years ago
Identifiers
OK License # 3-1044
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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