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Riverside San Bernardino County Indian Health Inc
Pharmacy in Banning, California
NPI 1902954944

Riverside San Bernardino County Indian Health Inc is a Pharmacy based in Grand Terrace, CA. Riverside San Bernardino County Indian Health Inc practices in Banning, CA. The NPI Number for Riverside San Bernardino County Indian Health Inc is 1902954944 and holds a License No. PHY32790 (California).

The current practice location address for Riverside San Bernardino County Indian Health Inc is 11555 1/2 Potrero Rd, Banning, CA and can be reached out via phone at 951-849-4761 and via fax at 951-849-0681.

Location: 11555 1/2 Potrero Rd, Banning, CA, 92313-5172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902954944
Provider Name
Riverside San Bernardino County Indian Health Inc
Credential
Provider Entity Type
Organization
Address
11555 1/2 Potrero Rd, Banning, CA, 92313-5172
Phone Number
951-849-4761
Fax Number
951-849-0681
Provider Enumeration Date
01/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1998432 01 PK
FHC03854 05 CA
institution
Provider Business Practice Location Address Details
Address
11555 1/2 Potrero Rd
City
Banning
State
California
Zip
92220-6946
Phone Number
951-849-4761
Fax Number
951-849-0681
person
Provider Business Mailing Address Details
Address
11555 1/2 Potrero Rd
City
Banning
State
California
Zip
92220-6946
Phone Number
951-849-4761
Fax Number
951-849-0681
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.
PHY32790 (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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