NPI | 1821030446 |
---|---|
Doing Business As | INDIAN HEALTH COUNCIL PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT SCHOSTAG Pharmacy Director 760-749-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA PHE30519) |
Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
333600000X Pharmacy | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2015-11-09 |