NPI | 1558482935 |
---|---|
Doing Business As | CSKT POLSON HEALTH CENTER PHARMACY |
Doing Business As | POLSON TRIBAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JOSEPH DURGLO Business Office Executive Director 406-745-3525 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-04-03 |
Last Update Date | 2023-02-13 |