Organization
SONOMA COUNTY INDIAN HEALTH PROJECT, INC
Active
Parent organization
SONOMA COUNT INDIAN HEALTH PROJECT, INC
Other names
Sonoma County Indian Health Project Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONOMA COUNT INDIAN HEALTH PROJECT, INC
Authorized official
BETTY ARTERBERRY (INTERIM CEO)
(707) 521-4660
Entity
Organization
Contact information
Practice address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4585
(707) 521-4599
Mailing address
144 STONY POINT RD, SANTA ROSA, CA 95401-4122
(707) 521-4585
(707) 521-4599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY45307
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557910
NCPDP #
CA
05
—
PHA45307
—
CA
Enumeration date
07/15/2005
Last updated
08/09/2023
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