OrganizationActive
Citizen Potawatomi Nation West Clinic
NPI 1598053993 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Shawnee, OK
Provider details
- NPI number
- 1598053993
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Authorized official
- Aubry Bennett, Business Office Coordinator
- License
- 105576 (OK)
Practice location
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Phone: (405) 964-5770
Fax: (405) 964-5785
Mailing address
781 Grand Casino Blvd
Shawnee, OK 74804-1005
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2026-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.