| NPI | 1710423793 |
|---|---|
| Doing Business As | SHINGLE SPRINGS HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN BODTKER Director Of Pharmacy/PIC/AO 530-387-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA PHY55274) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2018-07-19 |