| NPI | 1467550475 |
|---|---|
| Doing Business As | SAN FELIPE HEALTH CLINIC PHCY |
| Entity Type | Organization |
| Authorized Contact | DARYL CANDELARIA Tribal Admin 505-867-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-06-11 |