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Riverside-san Bernardino County Indian Health Inc
Pharmacy in Grand Terrace, California
NPI 1174724637

Riverside-san Bernardino County Indian Health Inc is a Pharmacy based in Grand Terrace, CA. Riverside-san Bernardino County Indian Health Inc practices in Grand Terrace, CA. The NPI Number for Riverside-san Bernardino County Indian Health Inc is 1174724637 and holds a License No. PHY52145 (California).

The current practice location address for Riverside-san Bernardino County Indian Health Inc is 11980 Mount Vernon Ave, Grand Terrace, CA and can be reached out via phone at 909-864-1097 and via fax at 909-503-1218.

Location: 11980 Mount Vernon Ave, Grand Terrace, CA, 92313-5172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174724637
Provider Name
Riverside-san Bernardino County Indian Health Inc
Credential
Provider Entity Type
Organization
Address
11980 Mount Vernon Ave, Grand Terrace, CA, 92313-5172
Phone Number
909-864-1097
Fax Number
909-503-1218
Provider Enumeration Date
05/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1993983 01 PK
institution
Provider Business Practice Location Address Details
Address
11980 Mount Vernon Ave
City
Grand Terrace
State
California
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
909-503-1218
person
Provider Business Mailing Address Details
Address
11980 Mount Vernon Ave
City
Grand Terrace
State
California
Zip
92313-5172
Phone Number
909-864-1097
Fax Number
909-503-1218
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY52145 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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