NPI | 1891822003 |
---|---|
Doing Business As | SILETZ COMMUNITY HEALTH CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | MIRANDA WILLIAMS Health Director 541-444-1030 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: OR RP-0002621-CS) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OR RP-0002621-CS) |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: OR RP-0002621-CS) | |
3336M0002X Pharmacy, Mail Order Pharmacy (Licence: OR RP-0002621-CS) | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2022-09-21 |