| NPI | 1588805832 |
|---|---|
| Doing Business As | KLAMATH TRIBAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LANGFORD Pharmacy Director 541-783-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: OR 2612F0400X) |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2023-05-02 |