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Wyandotte Nation

Community/Retail Pharmacy in Wyandotte, OK · enumerated 2012 · authorized official Paula Boettler, Pharmacy Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033462593

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Registry record

Entity type Organization (Type 2)
Legal business name Wyandotte Nation
Other name <Unavail>
Practice address 1 Turtle Dr, Wyandotte, OK, 74370
Fax (918) 678-3136
Enumeration date Oct 22, 2012
Last updated in NPPES Jul 18, 2024

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 21-6044 (OK) Primary

Authorized official

Name Paula Boettler
Title Pharmacy Director

Other identifiers

Identifier Type State Issuer
100707880G Medicaid OK -
2137552 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-18. Verify at npiregistry.cms.hhs.gov.
Where is Wyandotte Nation located?
The practice location on file with NPPES is in Wyandotte, OK.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-18.