| NPI | 1629525605 |
|---|---|
| Doing Business As | CANONCITO BAND OF NAVAJOS HEALTH CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER VARGA Lcdr/ Chief Pharmacist 505-908-2307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2017-02-21 |