| NPI | 1225020811 |
|---|---|
| Doing Business As | TAHLEQUAH DRUG COMPANY |
| Entity Type | Organization |
| Authorized Contact | SHANON GOWER Owner 918-931-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2021-04-08 |