| NPI | 1952623027 |
|---|---|
| Doing Business As | NISQUALLY TRIBAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LARRY LAMEBULL Health Administrator, Nisquall 360-456-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |