KICKAPOO TRIBAL HEALTH CENTER is an indian health service tribal urban indian health i t u pharmacy in Mcloud, OK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. KICKAPOO TRIBAL HEALTH CENTER NPI is 1194803346. The provider is registered as an organization entity type.
The provider Other Name Is Kickapoo Tribal Pharmacy.
The provider's business location address is:
105365 S. HWY 102
BUILDING M
MCLOUD, OK
ZIP 74851
Phone: (405) 964-2081
Fax: (405) 964-7160
The provider's authorized official is Janetta Mahtapene .
The authorized official title is Health Director and has the following contact phone number (405) 964-2081.
The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/2/2011.