Tahlequah Drug Company LLC

NPI #1225020811 in Tahlequah, Oklahoma

Provider Information

NPI Number
1225020811
Entity Type
Organization
Organization Name
Tahlequah Drug Company LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 18, 2005
Last Updated
Apr 8, 2021

Practice Location

Address
2028 MAHANEY AVE
ZIP Code
74464-5783
Phone
(918) 431-0555

Authorized Official

Name
SHANON GOWER
Title
OWNER
Phone
(918) 931-9222

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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