NPI | 1275742546 |
---|---|
Entity Type | Organization |
Authorized Contact | GORDON QUINN Pharmacy Director 251-368-8630 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-03-07 |