Absentee Shawnee Pharmacy
LBN: Absentee Shawnee Tribal Health Authority, Inc.
Absentee Shawnee Pharmacy is an health care organization with primary practice located at 2029 Gordon Cooper Dr , Shawnee OK 74801-9005. 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) 878-5859, or through Rogers, Mark via phone (405) 447-0300.
Contact Information
Primary practice address
2029 Gordon Cooper Dr
Shawnee OK 74801-9005
Phone: (405) 878-5859
Fax: (405) 669-3099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 10-4263 | Oklahoma |
Profile Details
| NPI number | 1831294024 |
|---|---|
| LBN Legal business name | Absentee Shawnee Tribal Health Authority, Inc. |
| DBA Doing business as | Absentee Shawnee Pharmacy |
| Authorized official | Rogers, Mark MAL, FACHE, CMPE, CH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jun 30th, 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 | 1831294024 | NPPES |
| Oklahoma | MEDICAID | 100699860F |
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