Organization
CHEROKEE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT REAN HUXALL PHARMD, CGP,FASCP (CEO)
(918) 808-5526
Entity
Organization
Contact information
Practice address
22122 E 63RD ST, BROKEN ARROW, OK 74014-2007
(918) 808-5526
(918) 355-6158
Mailing address
22122 E 63RD ST, BROKEN ARROW, OK 74014-2007
(918) 808-5526
(918) 355-6158
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
OK 9725
OK
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
OK 9725
OK
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
OK 9725
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26224167
—
OK
Enumeration date
05/27/2005
Last updated
09/11/2025
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