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Organization
SOUTHERN INDIAN HEALTH COUNCIL
Active
Organization
SOUTHERN INDIAN HEALTH COUNCIL
Active
Other names
SOUTHERN INDIAN HEALTH COUNCIL
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN GARCIA RPH (PIC)
(619) 445-1188
Entity
Organization
Contact information
Practice address
36350 CHURCH RD, CAMPO, CA 91906-2715
(619) 478-2225
(619) 478-2323
Mailing address
36350 CHURCH RD, CAMPO, CA 91906-2715
(619) 478-2225
(619) 478-2323
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PHE43448
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113505
PK
—
05
—
PHA434480
—
CA
Enumeration date
11/08/2006
Last updated
11/12/2024
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