| NPI | 1639290778 |
|---|---|
| Doing Business As | KLAMATH TRIBAL PHARMACY - CHILOQUIN |
| Former Legal Business Name | KLAMATH TRIBAL HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GEORGE LANGFORD Pharmacy Director 541-882-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-07-17 |