# CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** W.W. Hastings Indian Hospital, Cherokee Nation Outpatient Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326294968
- **Authorized official:** MICHELLE GRAHAM MHA (DIR., HEALTH EDUCATION & STAFF DEV)
- **Authorized official phone:** (539) 234-1977

## Contact information

- **Practice address:** 19600 E ROSS STREET, TAHLEQUAH, OK 74464
- **Practice address phone:** (539) 234-1100
- **Mailing address:** 19600 E ROSS STREET, TAHLEQUAH, OK 74464
- **Mailing address phone:** (539) 234-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 365339 | OK | — |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2008
- **Last updated:** 11/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100239190A | — | OK |
| 01 | — | 2117386 | PK | — |