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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