| NPI | 1225570716 |
|---|---|
| Doing Business As | SHOSHONE-BANNOCK TRIBES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE WATERHOUSE Sbchc Director 208-478-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: ID 41257PDO) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |