Organization
CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA TALBOT (GOHEALTH HELPDESK MANAGER)
(918) 382-7300
Entity
Organization
Contact information
Practice address
105 EAST ROSS AVENUE, SAPULPA, OK 74066-6423
(918) 216-4628
(918) 216-4696
Mailing address
PO BOX 700360, TULSA, OK 74170-0360
(918) 382-7300
(918) 382-7302
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
11-6522
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620
—
OK
01
—
11-7996
PHARMACY LICENSE
OK
Enumeration date
02/28/2014
Last updated
06/03/2020
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