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Absentee Shawnee Tribal Health Authority, Inc.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Shawnee, Oklahoma
NPI 1831294024

Absentee Shawnee Tribal Health Authority, Inc. is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Norman, OK. Absentee Shawnee Tribal Health Authority, Inc. practices in Shawnee, OK. The NPI Number for Absentee Shawnee Tribal Health Authority, Inc. is 1831294024 and holds a License No. 10-4263 (Oklahoma).

The current practice location address for Absentee Shawnee Tribal Health Authority, Inc. is 2029 Gordon Cooper Dr, Shawnee, OK and can be reached out via phone at 405-878-5859 and via fax at 405-669-3099.

Location: 2029 Gordon Cooper Dr, Shawnee, OK, 73026-9001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831294024
Provider Name
Absentee Shawnee Tribal Health Authority, Inc.
Credential
Provider Entity Type
Organization
Address
2029 Gordon Cooper Dr, Shawnee, OK, 73026-9001
Phone Number
405-878-5859
Fax Number
405-669-3099
Provider Enumeration Date
09/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100699860F 05 OK
institution
Provider Business Practice Location Address Details
Address
2029 Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9005
Phone Number
405-878-5859
Fax Number
405-669-3099
person
Provider Business Mailing Address Details
Address
2029 Gordon Cooper Dr
City
Shawnee
State
Oklahoma
Zip
74801-9005
Phone Number
405-878-5859
Fax Number
405-669-3099
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
10-4263 (Oklahoma)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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