Absentee Shawnee Tribal Health Authority, INC.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Shawnee, OK. Organization (NPI-2).
NPI number1831294024
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1831294024
- Entity type
- Organization (NPI-2)
- Legal business name
- Absentee Shawnee Tribal Health Authority, INC.
- Organization subpart
- No
- Enumeration date
- Sep 13, 2006
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 10-4263 | OK | Yes |
Other names
- Absentee Shawnee Pharmacy (Doing Business As)
Practice location
2029 Gordon Cooper DrShawnee, OK 74801-9005
Phone 405-878-5859 · Fax 405-669-3099
Mailing address
15951 Little Axe DrNorman, OK 73026-9088
Phone 405-447-0300 · Fax 405-701-7631
Authorized official
Marty Lofgren
Executive/ Medical Director
4054470300
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