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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 Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

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

NPI # 1770908675
LBN Legal business name CREOKS MENTAL HEALTH SERVICES, INC., DBA TRUWELLNESS RX
Authorized official TABITHA TALBOT - (GOHEALTH HELPDESK MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2014
Last updated 06/03/2020 - About 6 years ago
Identifiers
OK License # 11-6522
OK Medicaid 100734620
OK Other 11-7996 PHARMACY LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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