National Provider Identifier Database

CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY
19600 E ROSS STREET
TAHLEQUAH, OK74464
Phone: 539-234-1100
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY

NPI Number 1326294968
Legal business name
LBN
CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY
Authorized official MICHELLE GRAHAM - (DIR., HEALTH EDUCATION & STAFF DEV)
Entity Organization
Organization subpart No
Enumeration date 08/14/2008
Last updated 11/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 365339
  • OK Medicaid: 100239190A
  • Other: 2117386 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY

There are currently no reviews for CHEROKEE NATION OUTPATIENT HEALTH CENTER PHARMACY


NPIdb - Home
v2.201