| NPI | 1376289322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BURNETT It Specialist 707-263-8382 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-08-07 |