| NPI | 1588789416 |
|---|---|
| Doing Business As | LAKE ROOSEVELT COMMUNITY HEALTH CENTERS PHARMACY |
| Other Name | CNCHC INCHELIUM COMMUNITY HEALTH CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TOM SARGENT Chief Financial Officer 509-722-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-01-09 |