Organization · Type 2 NPI

Sallisawrx LLC

Community/Retail Pharmacy · Sallisaw, OK

NPI number 1326739749 Active

Practice location

1212A E Cherokee Ave
Sallisaw, OK 74955-5232

Fax (918) 775-5269

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

Another provider at this address

Sallisaw Pharmacy IncDurable Medical Equipment & Medical Supplies Sallisaw, OK NPI 1376524777

Other community/retail pharmacy providers in Sallisaw

See all in Sallisaw →

NPI record

NPI: 1326739749
Entity type: Organization (Type 2)
Issued: May 17, 2023
Last updated: Apr 21, 2025
Status: Active

Other names

<unavail>
Sallisaw Pharmacy · doing business as
Sallisaw Pharmacy · doing business as

Authorized official

Dr. Dakota Russell Tanner, PharmD
Managing Member
(918) 775-4451

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1326739749

Sallisawrx LLC's National Provider Identifier is 1326739749, issued on May 17, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Sallisaw, OK. The record was last updated on Apr 21, 2025.