Organization · Type 2 NPI

Eastern Shoshone Tribe

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Fort Washakie, WY

NPI number 1093553372 Active

Practice location

29 Black Coal Dr
Fort Washakie, WY 82514

Mailing address

PO Box 128
Fort Washakie, WY 82514-0128

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.

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About NPI 1093553372

Eastern Shoshone Tribe's National Provider Identifier is 1093553372, issued on Jul 19, 2024. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Fort Washakie, WY. The record was last updated on Jul 14, 2025.