Organization
CHEROKEE NATION
Active
Other names
Cooweescoowee Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF SANDERS (HEALTH SYSTEM PHARMACY DIRECTO)
(918) 207-4915
Entity
Organization
Contact information
Practice address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 535-6000
(918) 458-1211
Mailing address
395200 W 2900 RD, OCHELATA, OK 74051-2463
(918) 207-4915
(918) 458-1211
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
9-7213
OK
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149188
PK
—
Enumeration date
12/12/2014
Last updated
03/24/2017
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