Individual provider · Type 1 NPI

Tadd Evan Sharp-Bowman

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Porcupine, SD

NPI number 1679399398 Active

Practice location

1883 Lawrence Ln # 8
Porcupine, SD 57772-3064

Specialties and licenses

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

About NPI 1679399398

Tadd Evan Sharp-Bowman's National Provider Identifier is 1679399398, issued on Nov 26, 2024. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Porcupine, SD. The record was last updated on Nov 26, 2024.