Organization · Type 2 NPI

Fort Defiance Indian Hosp Pharmacy

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Fort Defiance, AZ

NPI number 1669501540 Active

Practice location

Intersection Of Hwy 12 And Hwy 7
Fort Defiance, AZ 86504

Fax (928) 729-8348

Mailing address

PO Box 31001-0654
Pasadena, CA 91110-0654

Specialties and licenses

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

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About NPI 1669501540

Fort Defiance Indian Hosp Pharmacy's National Provider Identifier is 1669501540, issued on Mar 5, 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 Fort Defiance, AZ. The record was last updated on Jan 29, 2010.