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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