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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