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Ihc Santa Ysabel Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Santa Ysabel, California
NPI 1407252588

Ihc Santa Ysabel Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Santa Ysabel, CA. Ihc Santa Ysabel Pharmacy practices in Santa Ysabel, CA. The NPI Number for Ihc Santa Ysabel Pharmacy is 1407252588 and holds a License No. PHY46552 (California).

The current practice location address for Ihc Santa Ysabel Pharmacy is 110 1/2 School House Canyon Road, Santa Ysabel, CA and can be reached out via phone at 760-233-5587 and via fax at 760-765-3769.

Location: 110 1/2 School House Canyon Road, Santa Ysabel, CA, 92070-0010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407252588
Provider Name
Ihc Santa Ysabel Pharmacy
Credential
Provider Entity Type
Organization
Address
110 1/2 School House Canyon Road, Santa Ysabel, CA, 92070-0010
Phone Number
760-233-5587
Fax Number
760-765-3769
Provider Enumeration Date
11/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2148638 01 PK
institution
Provider Business Practice Location Address Details
Address
110 1/2 School House Canyon Road
City
Santa Ysabel
State
California
Zip
92070
Phone Number
760-233-5587
Fax Number
760-765-3769
person
Provider Business Mailing Address Details
Address
110 1/2 School House Canyon Road
City
Santa Ysabel
State
California
Zip
92070
Phone Number
760-233-5587
Fax Number
760-765-3769
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.
PHY46552 (California)
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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