Sallisawrx Llc
Community/Retail Pharmacy
1212a E Cherokee Ave, Sallisaw
Oklahoma, 74955-5232
918-775-4451 918-775-5269
Sallisawrx Llc is not a DME supplier for medicare equipments and products.
Sallisawrx Llc is a Community/Retail Pharmacy in Sallisaw, Oklahoma. It is located at 1212a E Cherokee Ave, Sallisaw and it's customer support contact number is 918-775-4451. The authorized person of Sallisawrx Llc is Dr. Dakota Russell Tanner, PHARM.D. who is Managing Member of the pharmacy and his contact number is 918-775-4451.
Sallisawrx Llc is 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 health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Sallisawrx Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sallisawrx Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1212a E Cherokee Ave, Sallisaw, Oklahoma, 74955-5232 |
| Phone: | 918-775-4451 |
| Fax: | 918-775-5269 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Dakota Russell Tanner |
| Credentials: | PHARM.D. |
| Position: | Managing Member |
| Contact Number: | 918-775-4451 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1326739749 |
| NPI Enumeration Date: | 17 May, 2023 |
| NPI Last Update On: | 21 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sallisawrx Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100237570A | Medicaid | Oklahoma | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1212a E Cherokee Ave, Sallisaw, Oklahoma |
| Zip: | 74955-5232 |
| Phone Number: | 918-775-4451 |
| Fax Number: | 918-775-5269 |
Patients can reach Sallisawrx Llc at
1212a E Cherokee Ave, Sallisaw, Oklahoma or can
call on customer care at 918-775-4451.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.