Organization
CHEROKEE NATION
Active
Other names
WILMA P MANKILLER HEALTH CENTER RX
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCGEHEE RPH (SENIOR DIRECTOR OF PHARMACY SERVICE)
(539) 234-1117
Entity
Organization
Contact information
Practice address
471688 HIGHWAY 51, STILWELL, OK 74960-4490
(918) 696-8821
(918) 696-8881
Mailing address
CHEROKEE NATION, DEPT 2269, TULSA, OK 74182-0001
(918) 453-5000
(918) 458-6222
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
46-3911
OK
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236190G
—
OK
01
—
2074919
PK
—
Enumeration date
06/22/2006
Last updated
01/15/2025
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