Absentee Shawnee Tribal Health Authority, Inc.

NPI #1356915144 in Shawnee, Oklahoma

Provider Information

NPI Number: 1356915144
Entity Type: Organization
Organization Name: Absentee Shawnee Tribal Health Authority, Inc.
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: May 17, 2021
Last Updated: Oct 27, 2025

Practice Location

Address: 2029 GORDON COOPER DR
City: Shawnee
State: Oklahoma
ZIP Code: 74801-9005
Phone: (405) 878-5850

Authorized Official

Name: MARTY LOFGREN, MD, CPE
Title: MEDICAL DIRECTOR
Phone: (405) 447-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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