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Mr. Thomas Richard Berg, RPH
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Inchelium, Washington
NPI 1255485355

Thomas Richard Berg is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Inchelium, WA. Thomas Richard Berg practices in Inchelium, WA and has the professional credentials of RPH. The NPI Number for Thomas Richard Berg is 1255485355 and holds a License No. 4214 (Washington).

The current practice location address for Thomas Richard Berg is 39 Shortcut Road, Inchelium, WA and can be reached out via phone at 509-722-7009 and via fax at 509-722-7021.

Location: 39 Shortcut Road, Inchelium, WA, 99138-0290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255485355
Provider Name
Thomas Richard Berg
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
39 Shortcut Road, Inchelium, WA, 99138-0290
Phone Number
509-722-7009
Fax Number
509-722-7021
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4924735 01 WA NABP
CF00003827 01 WA PHARMACY LICENSE
6008767 05 WA
institution
Provider Business Practice Location Address Details
Address
39 Shortcut Road
City
Inchelium
State
Washington
Zip
99138-0290
Phone Number
509-722-7009
Fax Number
509-722-7021
person
Provider Business Mailing Address Details
Address
39 Shortcut Road
City
Inchelium
State
Washington
Zip
99138-0290
Phone Number
509-722-7009
Fax Number
509-722-7021
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
CF00003827 (Washington)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
4214 (South Dakota)
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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