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Organization
CHAPA-DE INDIAN HEALTH PROGRAM INC
Active
Organization
CHAPA-DE INDIAN HEALTH PROGRAM INC
Active
Other names
Chapa-De Indian Health
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DAVIES (CEO)
(530) 887-2800
Entity
Organization
Contact information
Practice address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2836
(530) 889-2971
Mailing address
11670 ATWOOD RD, PHARMACY DEPT, AUBURN, CA 95603-9522
(530) 887-2836
(530) 887-2842
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PHY39899
CA
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508882911
—
CA
01
—
1992616
PK
—
05
—
THP12027F
—
CA
Enumeration date
07/15/2006
Last updated
05/16/2016
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