NPI | 1982115366 |
---|---|
Other Name | CIT TRIBAL PHARMACY |
Entity Type | Organization |
Authorized Contact | KELLE LITTLE Health And Human Services Administr 541-888-9494 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: OR RP-0003305) |
Enumeration Date | 2017-10-12 |
Last Update Date | 2021-07-16 |