Provider Demographics
NPI:1720612443
Name:FEDERAL TRANSFER CENTER OKLAHOMA CITY
Entity Type:Organization
Organization Name:FEDERAL TRANSFER CENTER OKLAHOMA CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAN
Authorized Official - Last Name:HAMBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:405-680-4075
Mailing Address - Street 1:PO BOX 898802
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73189-8802
Mailing Address - Country:US
Mailing Address - Phone:405-682-4075
Mailing Address - Fax:405-680-4095
Practice Address - Street 1:7410 S MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73169-6908
Practice Address - Country:US
Practice Address - Phone:405-682-4075
Practice Address - Fax:405-680-4095
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEDERAL BUREAU OF PRISONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-03
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health