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Fort Washakie Health Center Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Fort Washakie, Wyoming
NPI 1336274026

Fort Washakie Health Center Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Fort Washakie, WY. Fort Washakie Health Center Pharmacy practices in Fort Washakie, WY. The NPI Number for Fort Washakie Health Center Pharmacy is 1336274026 and holds a License No. (Wyoming).

The current practice location address for Fort Washakie Health Center Pharmacy is 29 Blackcoal Dr, Fort Washakie, WY and can be reached out via phone at 307-332-3924 and via fax at 307-332-3949.

Location: 29 Blackcoal Dr, Fort Washakie, WY, 82514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336274026
Provider Name
Fort Washakie Health Center Pharmacy
Credential
Provider Entity Type
Organization
Address
29 Blackcoal Dr, Fort Washakie, WY, 82514
Phone Number
307-332-3924
Fax Number
307-332-3949
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5203144 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
29 Blackcoal Dr
City
Fort Washakie
State
Wyoming
Zip
82514
Phone Number
307-332-3924
Fax Number
307-332-3949
person
Provider Business Mailing Address Details
Address
29 Blackcoal Dr
City
Fort Washakie
State
Wyoming
Zip
82514
Phone Number
307-332-3924
Fax Number
307-332-3949
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.
()
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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