Organization
CREEK NATION HOSPITAL & CLINICS
Active
Parent organization
CREEK NATION HOSPITAL & CLINICS
Other names
MCNDH Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CREEK NATION HOSPITAL & CLINICS
Authorized official
DUSTY JAMES ALLEN PHARMD (DIRECTOR OF PHARMACY)
(918) 756-9909
Entity
Organization
Contact information
Practice address
10153 E 79TH ST STE 102, TULSA, OK 74133-4637
(855) 771-4321
(918) 756-2464
Mailing address
PO BOX 400, OKMULGEE, OK 74447-0400
(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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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