Organization · Type 2 NPI
Confederated Tribes of the Colville Reservation
Clinic Pharmacy · Keller, WA
NPI number
1093679862
Active
Practice location
11665 Wa Hwy 21
Keller, WA 99140-7300
Mailing address
PO Box 150
Nespelem, WA 99155-0150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | None listed |
| Clinic Pharmacy Primary | 3336C0002X | None listed |
Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
About NPI 1093679862
Confederated Tribes of the Colville Reservation's National Provider Identifier is 1093679862, issued on Dec 15, 2025. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Keller, WA. The record was last updated on Jun 4, 2026.