Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Jason Mutz, DPH

Individual provider Pharmacist · NPI 1265999270

Charles Jason Mutz, DPH is a Pharmacist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2019.

Licensed in
OK
In the registry since
2019

Practice location Address checks out

2001 S Muskogee Ave
Tahlequah, OK 74464-5454
Phone: (918) 456-6103
Fax: (918) 456-6118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11627 (OK)

Record details

NPI number1265999270
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESFebruary 26, 2019

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