Ast Little Axe Health Center Pharmacy
LBN: Absentee Shawnee Tribal Health Authority, Inc.
Ast Little Axe Health Center Pharmacy is an health care organization with primary practice located at 15951 Little Axe Dr , Norman OK 73026-9088. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty.
Absentee Shawnee Tribal Health Authority, Inc. can be contacted via phone (405) 447-0300, or through Rogers, Mark via phone (405) 447-0300.
Contact Information
Primary practice address
15951 Little Axe Dr
Norman OK 73026-9088
Phone: (405) 447-0300
Fax: (405) 701-7631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X |
Profile Details
| NPI number | 1063093185 |
|---|---|
| LBN Legal business name | Absentee Shawnee Tribal Health Authority, Inc. |
| DBA Doing business as | Ast Little Axe Health Center Pharmacy |
| Authorized official | Rogers, Mark MAL, FACHE, CMPE, CH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Mar 16th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063093185 | NPPES |
| Oklahoma | MEDICAID | 100699860B |
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