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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us