| NPI | 1710995279 |
|---|---|
| Doing Business As | SOPHIE TRETTEVICK INDIA HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KAREN R TYLER Business Office Manager 360-645-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2019-06-07 |