Organization
WATONGA IHS PHARMACY
Active
Other names
WATONGA 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
1305 CLARENCE NASH RD., WATONGA, OK 73772
(580) 623-4991
(580) 623-5490
Mailing address
1305 CLARENCE NASH RD., WATONGA, OK 73772
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
49-2937
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231960G
—
OK
01
—
2076413
PK
—
Enumeration date
01/11/2007
Last updated
08/08/2025
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