Individual provider · Type 1 NPI
Tadd Evan Sharp-Bowman
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Porcupine, SD
Practice location
1883 Lawrence Ln # 8
Porcupine, SD 57772-3064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None 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.