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Organization
PAWNEE IHS PHARMACY
Active
Organization
PAWNEE IHS PHARMACY
Active
Other names
PAWNEE IHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEEN SKIDGEL PHARMD (AREA PHARMACY CONSULTANT)
(918) 762-6611
Entity
Organization
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
(918) 762-4614
Mailing address
PO BOX 95435, CLEVELAND, OH 44101-0033
(918) 762-2517
(918) 762-4614
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
521768
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960E
—
OK
01
—
3723029
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/11/2007
Last updated
09/17/2025
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