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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