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Organization

WHITE CLOUD IHS PHARMACY

Active
Other names
WHITE CLOUD IHS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
TRACIE PATTEN PHARMD (IHS AREA PHARMACY CONSULTANT)
(405) 951-6035
Entity
Organization

Contact information

Practice address
3313 THRASHER RD, WHITE CLOUD, KS 66094-4028
(785) 595-3450
(785) 595-3493
Mailing address
PO BOX 676715, DALLAS, TX 75267-6715

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
112656
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1717492
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
01/11/2007
Last updated
02/20/2013
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