| NPI | 1407252588 |
|---|---|
| Doing Business As | IHC SANTA YSABEL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT SCHOSTAG Pharmacy Director 760-749-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA PHY46552) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |