| NPI | 1790542223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW ALLEN MCCASTER Chief Mathias El (Cth) 818-477-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-08-02 |