in Dallas - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
- NPI 1316097298
is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Dallas, Texas. 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 1316097298. The last update date is .
's current location address is Po Box 676707, Dallas, Texas. You can contact this provider via phone number 5803545537 and fax number 5803545544. The mailing address for is Po Box 676707, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 676707, Dallas, Texas |
| Phone Number | 5803545537 |
| Fax Number | 5803545544 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1316097298 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 676707 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752676707 |
| Phone Number | 5803545537 |
| Fax Number | 5803545544 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 3-1440 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2074594 | PK | ||
| 100231960K | OK | -- |
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