| NPI | 1225241581 |
|---|---|
| Doing Business As | MUCKLESHOOT HWC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BERG Pharmacy Director 253-333-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-11-09 |