Organization
SOUTHERN COLORADO UTE HEALTH CENTER IAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANETTE HARRELL RPH (CHIEF OF PHARMACY)
(970) 563-4581
Entity
Organization
Contact information
Practice address
123 WEEMINUCHE ST, IGNACIO, CO 81137
(970) 563-4581
(970) 563-0206
Mailing address
PO BOX 899, IGNACIO, CO 81137-0899
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0617209
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
67553541
—
CO
Enumeration date
03/15/2007
Last updated
08/22/2020
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