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Organization
CHEROKEE NATION
Active
Organization
CHEROKEE NATION
Active
Other names
W.W. Hastings Indian Hospital Urgent Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY THORNTON (PHARMACY STUDENT PROGRAM COORD)
(918) 458-3207
Entity
Organization
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 772-4754
(918) 458-1211
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 772-4754
(918) 458-1211
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
367330
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152457
PK
—
Enumeration date
07/07/2015
Last updated
11/15/2022
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