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Organization
CREEK NATION HOSPITAL & CLINICS
Active
Organization
CREEK NATION HOSPITAL & CLINICS
Active
Parent organization
CREEK NATION HOSPITAL & CLINICS
Other names
Council Oak Comprehensive Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREEK NATION HOSPITAL & CLINICS
Authorized official
DUSTY ALLEN (PHARMACY BILLING MANAGER)
(918) 756-4233
Entity
Organization
Contact information
Practice address
10109 E 79TH ST, OUTPATIENT PHARMACY, TULSA, OK 74133
(855) 771-4321
(918) 756-2464
Mailing address
MCN PHARMACY DEPT # 1249, TULSA, OK 74182-0001
(918) 756-9909
(918) 756-2464
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699980K
—
OK
Enumeration date
07/14/2021
Last updated
03/13/2024
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