Organization · NPI-2

Absentee Shawnee Tribal Health Authority, INC.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Tecumseh, OK

NPI number1922921188
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1922921188
Entity type
Organization (NPI-2)
Legal business name
Absentee Shawnee Tribal Health Authority, INC.
Organization subpart
No
Enumeration date
Aug 3, 2026
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy––Yes

Other names

  • Ast Tecumseh Health Center Pharmacy (Other Name)

Practice location

39659 Benson Park Rd
Tecumseh, OK 74873

Phone 405-447-0300 · Fax 405-701-7631

Mailing address

15951 Little Axe Dr
Norman, OK 73026-9088

Phone 405-447-0300 · Fax 405-701-7631

Authorized official

Marty Lofgren
Executive Medical Director
4054470300

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy providers in Tecumseh, OK