Organization
SOUTHERN INDIAN HEALTH COUNCIL
Active
Other names
SOUTHERN INDIAN HEALTH COUNCIL
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN GARCIA PHARMD (PIC)
(619) 445-1188
Entity
Organization
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 445-2892
Mailing address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 445-2892
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PHE35491
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997735
PK
—
05
—
PHE35491
—
CA
Enumeration date
01/16/2007
Last updated
11/12/2024
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