National Provider Identifier Database

CREOKS MENTAL HEALTH SERVICES INC DBA TRUWELLNESS RX
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

CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX
105 EAST ROSS AVENUE
SAPULPA, OK74066-6423
Phone: 918-216-4628
Fax: 918-216-4696
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX

NPI Number 1770908675
Legal business name
LBN
CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX
Authorized official TABITHA TALBOT - (GOHEALTH HELPDESK MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2014
Last updated 06/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OK License #: 11-6522
  • OK Medicaid: 100734620
  • OK Other: 11-7996 PHARMACY LICENSE

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.

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