| NPI | 1053484998 |
|---|---|
| Other Name | LASSEN INDIAN HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STACY DIXON Tribal Chairman 530-257-6264 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA PHE47046) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-07-16 |