institution
David C Wynecoop Memorial Clinic Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wellpinit, Washington
NPI 1750411310

David C Wynecoop Memorial Clinic Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Wellpinit, WA. David C Wynecoop Memorial Clinic Pharmacy practices in Wellpinit, WA. The NPI Number for David C Wynecoop Memorial Clinic Pharmacy is 1750411310 and holds a License No. (Washington).

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

Location: Agency Square, Wellpinit, WA, 99040
institution
Provider Profile Details
NPI Number
1750411310
Provider Name
David C Wynecoop Memorial Clinic Pharmacy
Credential
Provider Entity Type
Organization
Address
Agency Square, Wellpinit, WA, 99040
Phone Number
509-258-4517
Fax Number
509-258-7152
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4926309 01 NCPDP NUMBER
6021166 05 WA
institution
Provider Business Practice Location Address Details
Address
Agency Square
City
State
Zip
99040
Phone Number
509-258-4517
Fax Number
509-258-7152
person
Provider Business Mailing Address Details
Address
Agency Square
City
State
Zip
99040
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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