Organization
TOIYABE INDIAN HEALTH PROJECT, INC
Active
Other names
Toiyabe Indian Health Project Clinic/Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMETERIO MEDINA (PHARMD, PIC)
(760) 873-4721
Entity
Organization
Contact information
Practice address
250 N SEE VEE LN, BISHOP, CA 93514-8130
(760) 873-4721
(760) 503-0211
Mailing address
250 N SEE VEE LN, BISHOP, CA 93514-8130
(760) 873-4721
(760) 873-6127
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
333600000X
Pharmacy
—
CA
3336C0002X
Clinic Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577342
NCPDP PROVIDER IDENTIFIER
CA
01
—
55424
BOARD OF PHARMACY LICENSE
CA
Enumeration date
07/30/2006
Last updated
10/17/2025
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