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Organization
HASKELL IHS PHARMACY
Active
Organization
HASKELL IHS PHARMACY
Active
Other names
HASKELL IHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAILEEN SKIDGEL (OCA PHARMACY CONSULT)
(918) 762-6611
Entity
Organization
Contact information
Practice address
2415 MASSACHUSETTS AVE, LAWRENCE, KS 66046
(785) 843-3750
(785) 843-8815
Mailing address
2415 MASSACHUSETTS AVE, LAWRENCE, KS 66046
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1717478
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2159200002
—
KS
Enumeration date
01/11/2007
Last updated
08/08/2025
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