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Organization
TUOLUMNE ME-WUK INDIAN HEALTH CENTER
Active
Organization
TUOLUMNE ME-WUK INDIAN HEALTH CENTER
Active
Other names
Tuolumne Me Wuk Indian Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOO YEUN SEO RPH (PHARMACY DIRECTOR)
(209) 928-5407
Entity
Organization
Contact information
Practice address
18880 CHERRY VALLEY BLVD., TUOLUMNE, CA 95379-9506
(209) 928-5400
(209) 928-5413
Mailing address
18880 CHERRY VALLEY BLVD., TUOLUMNE, CA 95379-9506
(209) 928-5400
(209) 928-5413
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115109
PK
—
05
—
PHA482300
—
CA
Enumeration date
08/22/2006
Last updated
08/28/2023
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