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Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Other names
United Indian Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KANAKO MIYAMOTO (PHARMACY DIRECTOR)
(707) 825-4095
Entity
Organization
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5020
(707) 825-6879
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-4177
(707) 825-6879
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
45313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991351
PK
—
05
—
PHA453130
—
CA
Enumeration date
11/02/2006
Last updated
07/08/2022
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