Council Oak Comprehensive Health Pharmacy

LBN: Creek Nation Hospital & Clinics
Council Oak Comprehensive Health Pharmacy is an health care organization with primary practice located at 10109 E 79Th St Outpatient Pharmacy, Tulsa OK 74133. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Creek Nation Hospital & Clinics can be contacted via phone (855) 771-4321, or through Allen, Dusty via phone (918) 756-4233.

Contact Information

Primary practice address
10109 E 79Th St Outpatient Pharmacy Tulsa OK 74133
Phone: (855) 771-4321
Fax: (918) 756-2464
Website:
Map and Directions
Authorized official contact:
Name: Allen, Dusty
Phone: (918) 756-4233

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1265004667
LBN Legal business name Creek Nation Hospital & Clinics
DBA Doing business as Council Oak Comprehensive Health Pharmacy
Authorized official Allen, Dusty
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2021
Last updated Mar 13th, 2024 - about 6 months 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 1265004667 NPPES
Oklahoma MEDICAID 100699980K

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