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Organization

CREEK NATION HOSPITAL & CLINICS

Active
Parent organization
CREEK NATION HOSPITAL & CLINICS
Other names
MCN Riverwalk Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
CREEK NATION HOSPITAL & CLINICS
Authorized official
SHAWN TERRY (SECRETARY OF HEALTH)
(918) 756-9909
Entity
Organization

Contact information

Practice address
10109 E 79TH ST STE B120, TULSA, OK 74133-4564
(918) 300-1061
(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
261QI0500X
Infusion Therapy Clinic/Center
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy

Other

Enumeration date
08/25/2020
Last updated
10/31/2023
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