OrganizationActive
Chickasaw Nation Division of Health
NPI 1750406757 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Tishomingo, OK
Provider details
- NPI number
- 1750406757
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Zach Williams, Pharmacist(580) 272-2710
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 61-6174 (OK)
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Practice location
817 E 6th St
Tishomingo, OK 73460-1800
Phone: (580) 371-2392
Fax: (580) 421-4552
Approximate (ZIP-level) locationGet directions
Mailing address
1921 Stonecipher Dr
Ada, OK 74820-3439
Other names (DBA / former)
- Doing business as
- Tishomingo Indian Clinic Pharmacy
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.