OrganizationActive
Kickapoo Tribal Health Center
NPI 1194803346 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mcloud, OK
Provider details
- NPI number
- 1194803346
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Wayne Irion, Health Director(405) 964-2081
Specialties & taxonomies
Suppliers
Practice location
105365 S. Hwy 102
Building M
Mcloud, OK 74851
Phone: (405) 964-2081
Fax: (405) 964-7160
Approximate (ZIP-level) locationGet directions
Mailing address
105365 S. Hwy 102
Mcloud, OK 74851
Other names (DBA / former)
- Other name
- Kickapoo Tribal Pharmacy
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.