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Organization
CHEROKEE NATION
Active
Organization
CHEROKEE NATION
Active
Other names
Cooweescoowee Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SANDERS (HEALTH SYSTEM PHARMACY DIRECTO)
(918) 207-4915
Entity
Organization
Contact information
Practice address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 535-6000
(918) 458-1211
Mailing address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 207-4915
(918) 458-1211
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
9-7213
OK
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149188
PK
—
Enumeration date
12/12/2014
Last updated
03/24/2017
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