Organization · Type 2 NPI

David C Wynecoop Memorial Clinic

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Wellpinit, WA

NPI number 1003963000 Active

Practice location

6203 Agency Loop Road
Wellpinit, WA 99040-0357

Fax (509) 258-7152

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XNone listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

6 other providers at this address

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About NPI 1003963000

David C Wynecoop Memorial Clinic's National Provider Identifier is 1003963000, issued on Jan 4, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Wellpinit, WA. The record was last updated on Aug 22, 2020.