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Organization
SOUTHERN COLORADO UTE HEALTH CENTER IAS
Active
Organization
SOUTHERN COLORADO UTE HEALTH CENTER IAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANETTE HARRELL RPH (CHIEF OF PHARMACY)
(970) 563-4581
Entity
Organization
Contact information
Practice address
123 WEEMINUCHE ST, IGNACIO, CO 81137
(970) 563-4581
(970) 563-0206
Mailing address
PO BOX 899, IGNACIO, CO 81137-0899
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0617209
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
67553541
—
CO
Enumeration date
03/15/2007
Last updated
08/22/2020
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