Whalio Doctors

NPI 1538299268

Sequoyah City County Trust Authority

Organisation Non-Pharmacy Dispensing Site Sallisaw, OK

Practice location

Address
213 E Redwood Ave, Sallisaw, OK 74955-2811
Phone
(918) 774-1100
Mailing address
213 E Redwood Ave PO Box 505, Sallisaw, OK 74955-2811

Authorised official

Name
Charles E. Wade
Title
Ceo
Phone
(918) 774-1100

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 344802 (OK)

Registry record

NPI
1538299268
Entity type
Organization
NPI issued
6 Mar 2007
Record last updated
22 Aug 2020

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.