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Organization

CREEK NATION HOSPITAL & CLINICS

Active
Parent organization
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Other names
SAPULPA INDIAN HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
MUSCOGEE (CREEK) NATION DEPARTMENT OF HEALTH
Authorized official
SHAWN TERRY PHARMD (SECRETARY OF HEALTH)
(918) 756-9909
Entity
Organization

Contact information

Practice address
1125 E CLEVELAND AVE, SAPULPA, OK 74066-4641
(918) 224-9310
(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
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
11-4109
OK
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100709130C
OK
01
2075853
PK
Enumeration date
08/30/2006
Last updated
12/07/2023
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