NPI | 1285750125 |
---|---|
Doing Business As | KAYENTA PHARMACY |
Entity Type | Organization |
Authorized Contact | TERRI MAE KELEWOOD Business Office Manager 928-697-5059 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2007-03-22 |
Last Update Date | 2023-06-08 |