NPI | 1235205915 |
---|---|
Doing Business As | (DBA) NIMIIPUU HEALTH |
Entity Type | Organization |
Authorized Contact | ROXIE K HARTWIG Medical Director 208-843-2271 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2006-11-27 |
Last Update Date | 2019-12-04 |