Organization · Type 2 NPI
Shoshone-Bannock Community Health Center
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Fort Hall, ID
Practice location
Navajo Drive Bldg 70
Fort Hall, ID 83203
Mailing address
PO Box 306
Fort Hall, ID 83203-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | 41257PDO (ID) |
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.
Another provider at this address
Other indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Fort Hall
About NPI 1225570716
Shoshone-Bannock Community Health Center's National Provider Identifier is 1225570716, issued on Nov 15, 2016. 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 Hall, ID. The record was last updated on Nov 15, 2016.