NPI | 1235610403 |
---|---|
Doing Business As | CHEWELAH COMMUNITY HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | ADAM JONES CFO 509-935-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
333600000X Pharmacy | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2023-05-03 |