Organization · Type 2 NPI

Riverside-San Bernardino County Indian Health Inc

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Grand Terrace, CA

NPI number 1174724637 Active

Practice location

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Call (909) 864-1097 Map

Fax (909) 503-1218

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XPHY52145 (CA)
Pharmacy 333600000XNone 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.

38 other providers at this address

About NPI 1174724637

Riverside-San Bernardino County Indian Health Inc's National Provider Identifier is 1174724637, issued on May 30, 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 Grand Terrace, CA. The record was last updated on Mar 9, 2021.