CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION

SALT LAKE CITY, UT
NPI1003251638
Entity TypeOrganization
Authorized ContactCRYSTAL CONTRERAS
Billing
801-359-2256
Organization Subpart ?No
Primary Taxonomy332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
(Licence: UT  8547079-1704)
Additional Taxonomies3336C0002X Pharmacy, Clinic Pharmacy
Enumeration Date2013-05-09
Last Update Date2017-12-21
Business Address
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200 E STE 250
SALT LAKE CITY, UT 84111-3846
Phone number: 801-359-2256
Mailing Address
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION
660 S 200 E SUITE 250
SALT LAKE CITY, UT 84111-3835
Phone number: 801-359-2256