| NPI | 1174724637 |
|---|---|
| Doing Business As | SAN MANUEL INDIAN HEALTH CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEEVAN DHOUNI Director Of Pharmacy 909-864-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA PHY52145) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-03-09 |