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Nisqually Indian Tribe
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Olympia, Washington
NPI 1952623027

Nisqually Indian Tribe is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Olympia, WA. Nisqually Indian Tribe practices in Olympia, WA. The NPI Number for Nisqually Indian Tribe is 1952623027 and holds a License No. (Washington).

The current practice location address for Nisqually Indian Tribe is 4816 She Nah Num Dr Se, Olympia, WA and can be reached out via phone at 360-459-5312 and via fax at 360-456-1557. You can also correspond with Nisqually Indian Tribe through the mailing address at 4816 SHE NAH NUM DR SE, OLYMPIA, WA - 98513-9105 (mailing address contact number: 360-459-5312).

Location: 4816 She Nah Num Dr Se, Olympia, WA, 98513-9105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952623027
Provider Name
Nisqually Indian Tribe
Credential
Provider Entity Type
Organization
Address
4816 She Nah Num Dr Se, Olympia, WA, 98513-9105
Phone Number
360-459-5312
Fax Number
360-456-1557
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4933645 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
4816 She Nah Num Dr Se
City
Olympia
State
Washington
Zip
98513-9105
Phone Number
360-459-5312
Fax Number
360-456-1557
person
Provider Business Mailing Address Details
Address
4816 She Nah Num Dr Se
City
Olympia
State
Washington
Zip
98513-9105
Phone Number
360-459-5312
Fax Number
360-456-1557
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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