Organization · Type 2 NPI

Riverside San Bernardino County Indian Health Inc

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Banning, CA

NPI number 1902954944 Active

Practice location

11555 1/2 Potrero Rd
Banning, CA 92220-6946

Call (951) 849-4761 Map

Fax (951) 849-0681

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	PHY32790 (CA)
Pharmacy	333600000X	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.

22 other providers at this address

About NPI 1902954944

Riverside San Bernardino County Indian Health Inc's National Provider Identifier is 1902954944, issued on Jan 8, 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 Banning, CA. The record was last updated on Mar 29, 2017.