Organization · Type 2 NPI

Absentee Shawnee Tribal Health Authority, Inc.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Norman, OK

NPI number 1699790543 Active

Practice location

15951 Little Axe Dr
Norman, OK 73026-9088

Fax (405) 701-7930

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	7-5950 (OK)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.

71 other providers at this address

Other indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Norman

Absentee Shawnee Tribal Health Authority, Inc.Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Norman, OK NPI 1063093185

See all in Norman →

NPI record

NPI: 1699790543
Entity type: Organization (Type 2)
Issued: Jul 13, 2006
Last updated: Aug 12, 2026
Status: Active

Other names

<unavail>
Ast Little Axe Health Center Pharmacy · doing business as
Ast Little Axe Health Center Pharmacy · other name

Authorized official

Marty Lofgren, MD, CPE
Executive/ Medical Director
(405) 447-0300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699790543

Absentee Shawnee Tribal Health Authority, Inc.'s National Provider Identifier is 1699790543, issued on Jul 13, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Norman, OK. The record was last updated on Aug 12, 2026.