OrganizationActive
Choctaw Nation of Oklahoma
NPI 1790833564 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Idabel, OK
Provider details
- NPI number
- 1790833564
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Todd Hallmark, Executive Officer - Dept of Health(918) 567-7115
- License
- 255013 (OK)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 255013 (OK)
Suppliers
Ambulatory Health Care Facilities
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Practice location
902 E Lincoln Rd
Idabel, OK 74745-7337
Phone: (800) 349-7026
Fax: (918) 567-7180
Approximate (ZIP-level) locationGet directions
Mailing address
One Choctaw Way
Talihina, OK 74571
Other names (DBA / former)
- Doing business as
- Choctaw Nation Health Clinic-Idabel Rx
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.