Cherokee Nation Outpatient Health Center Pharmacy

LBN: Cherokee Nation Outpatient Health Center Pharmacy
Cherokee Nation Outpatient Health Center Pharmacy is an health care organization with primary practice located at 19600 E Ross Street , Tahlequah OK 74464. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Cherokee Nation Outpatient Health Center Pharmacy can be contacted via phone (539) 234-1100, or through Graham, Michelle via phone (539) 234-1977.

Contact Information

Primary practice address
19600 E Ross Street Tahlequah OK 74464
Phone: (539) 234-1100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Michelle MHA
Phone: (539) 234-1977

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 365339 Oklahoma
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1326294968
LBN Legal business name Cherokee Nation Outpatient Health Center Pharmacy
DBA Doing business as Cherokee Nation Outpatient Health Center Pharmacy
Authorized official Graham, Michelle MHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2008
Last updated Nov 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326294968 NPPES
Oklahoma MEDICAID 100239190A
Oklahoma Other 2117386

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