Organization
PAIUTE INDIAN TRIBE OF UTAH
Active
Parent organization
PAIUTE INDIAN TRIBE OF UTAH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIUTE INDIAN TRIBE OF UTAH
Authorized official
TYLER PRISBREY (CEO)
(435) 586-1112
Entity
Organization
Contact information
Practice address
376 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 867-1521
Mailing address
440 N PAIUTE DR, CEDAR CITY, UT 84721-6181
(435) 586-1112
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2026
Last updated
04/17/2026
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