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Organization
FORT WASHAKIE HEALTH CENTER PHARMACY
Active
Organization
FORT WASHAKIE HEALTH CENTER PHARMACY
Active
Other names
Wind River Service Unit
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN JAMES ANDERSON PHARMD (CHIEF OF PHARMACY)
(307) 335-5997
Entity
Organization
Contact information
Practice address
29 BLACKCOAL DR, FORT WASHAKIE, WY 82514
(307) 332-3924
(307) 332-3949
Mailing address
29 BLACKCOAL DR, FORT WASHAKIE, WY 82514
(307) 332-3924
(307) 332-3949
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
—
5203144
NCPDP NUMBER
—
Enumeration date
02/22/2007
Last updated
03/07/2023
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