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Organization
RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC
Active
Organization
RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC
Active
Other names
TORRES MARTINEZ INDIAN HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMSEN (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
66655 MARTINEZ RD, THERMAL, CA 92274-9007
(760) 397-4476
(951) 225-6879
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
(951) 225-6879
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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