# CONFEDERATED TRIBES OF THE COLVILLE RESERVATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Poil Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093679862
- **Authorized official:** AMY CHURCH (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (509) 634-2783

## Contact information

- **Practice address:** 11665 WA HWY 21, KELLER, WA 99140-7300
- **Practice address phone:** (509) 634-7389
- **Mailing address:** PO BOX 150, NESPELEM, WA 99155-0150
- **Mailing address phone:** (509) 634-2783
- **Mailing address fax:** (509) 634-2963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 06/04/2026