| NPI | 1679200976 |
|---|---|
| Doing Business As | TORRES MARTINEZ INDIAN HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMSEN CEO 909-864-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |