OrganizationActive
Absentee Shawnee Tribal Health Authority, Inc.
NPI 1831294024 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Shawnee, OK
Provider details
- NPI number
- 1831294024
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Authorized official
- Marty Lofgren, Medical Director
- License
- 10-4263 (OK)
Practice location
2029 Gordon Cooper Dr
Shawnee, OK 74801-9005
Phone: (405) 878-5859
Fax: (405) 669-3099
Mailing address
15951 Little Axe Dr
Norman, OK 73026-9088
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.