institution
David C Wynecoop Memorial Clinic
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wellpinit, Washington
NPI 1003963000

David C Wynecoop Memorial Clinic is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Wellpinit, WA. David C Wynecoop Memorial Clinic practices in Wellpinit, WA. The NPI Number for David C Wynecoop Memorial Clinic is 1003963000 and holds a License No. (Washington).

The current practice location address for David C Wynecoop Memorial Clinic is 6203 Agency Loop Road, Wellpinit, WA and can be reached out via phone at 509-258-4517 and via fax at 509-258-7152.

Location: 6203 Agency Loop Road, Wellpinit, WA, 99040-0357
institution
Provider Profile Details
NPI Number
1003963000
Provider Name
David C Wynecoop Memorial Clinic
Credential
Provider Entity Type
Organization
Address
6203 Agency Loop Road, Wellpinit, WA, 99040-0357
Phone Number
509-258-4517
Fax Number
509-258-7152
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4926309 01 WA NCPDP NUMBER
PH00052198 01 WA LICENSE
PH00044329 01 WA LICENSE
institution
Provider Business Practice Location Address Details
Address
6203 Agency Loop Road
City
State
Zip
99040-0357
Phone Number
509-258-4517
Fax Number
509-258-7152
person
Provider Business Mailing Address Details
Address
6203 Agency Loop Road
City
State
Zip
99040-0357
Phone Number
509-258-4517
Fax Number
509-258-7152
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
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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