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Organization
CLINTON INDIAN HEALTH CENTER
Active
Organization
CLINTON INDIAN HEALTH CENTER
Active
Other names
CLINTON 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
10321 N. 2274 RD, CLINTON, OK 73601
(580) 331-3351
(405) 234-8409
Mailing address
10321 N. 2274 RD, CLINTON, OK 73601
(405) 234-8422
(405) 234-8409
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
281620
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960A
—
OK
01
—
3721354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/11/2007
Last updated
08/08/2025
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