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Organization
LAWTON IHS PHARMACY
Active
Organization
LAWTON IHS PHARMACY
Active
Other names
LAWTON IHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEEN SKIDGEL (OCA PHARMACY CONSULTANT)
(918) 762-6611
Entity
Organization
Contact information
Practice address
1515 LAURIE TATUM ROAD, LAWTON, OK 73507
(580) 354-5537
(580) 354-5544
Mailing address
1515 LAURIE TATUM ROAD, LAWTON, OK 73507
(580) 354-5537
(580) 354-5544
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
3-1440
OK
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960K
—
OK
01
—
2074594
PK
—
Enumeration date
01/11/2007
Last updated
08/08/2025
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