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Organization

TAHOE FOREST HOSPITAL DISTRICT

Active
Parent organization
TAHOE FOREST HOSPITAL DISTRICT
Other names
Tahoe Forest Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Authorized official
BILJANA MILICEVIC (MANAGER)
(530) 587-7607
Entity
Organization

Contact information

Practice address
10956 DONNER PASS RD, TRUCKEE, CA 96161-4861
(530) 587-7607
(530) 587-6771
Mailing address
10956 DONNER PASS RD, TRUCKEE, CA 96161-4861

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY41861
CA
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0589842
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
07/30/2006
Last updated
07/08/2020
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