NPI 1225020811
Tahlequah Drug Company LLC
Practice location
- Address
- 2028 Mahaney Ave, Tahlequah, OK 74464-5783
- Phone
- (918) 431-0555
- Fax
- (918) 431-0316
Authorised official
- Name
- Shanon Gower
- Title
- Owner
- Phone
- (918) 931-9222
Registered specialties (2)
Community/Retail Pharmacy
Primary
Long Term Care Pharmacy
Registry record
- NPI
- 1225020811
- Entity type
- Organization
- NPI issued
- 18 Aug 2005
- Record last updated
- 8 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.