Organization
CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY
Active
Other names
W.W. Hastings Indian Hospital, Cherokee Nation Outpatient Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GRAHAM MHA (DIR., HEALTH EDUCATION & STAFF DEV)
(539) 234-1977
Entity
Organization
Contact information
Practice address
19600 E ROSS STREET, TAHLEQUAH, OK 74464
(539) 234-1100
Mailing address
19600 E ROSS STREET, TAHLEQUAH, OK 74464
(539) 234-1100
Taxonomy
Speciality
Code
Description
License number
State
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
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239190A
—
OK
01
—
2117386
PK
—
Enumeration date
08/14/2008
Last updated
11/15/2022
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