| NPI | 1760728380 |
|---|---|
| Doing Business As | PECHANGA INDIAN HEALTH CLINIC 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 (Licence: CA 50823) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2021-10-07 |