Organization · Type 2 NPI
Ihc Santa Ysabel Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Santa Ysabel, CA
Practice location
110 1/2 School House Canyon Road
Santa Ysabel, CA 92070
Fax (760) 765-3769
Mailing address
PO Box 10
Santa Ysabel, CA 92070-0010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | PHY46552 (CA) |
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
About NPI 1407252588
Ihc Santa Ysabel Pharmacy's National Provider Identifier is 1407252588, issued on Nov 17, 2014. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Santa Ysabel, CA. The record was last updated on Nov 17, 2014.