| NPI | 1497791982 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH CENTER RX |
| Entity Type | Organization |
| Authorized Contact | MICHELLE GRAHAM Dir., Health Education & Staff Dev 539-234-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OK 45259) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-11-15 |