in - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy

- NPI 1275683369

is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in , . practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for is 1275683369. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1275683369
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Taxonomy 332800000X
Licence No 112656
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1717492 NCPDP PROVIDER IDENTIFICATION

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