Organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Active
Organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Active
Other names
Klamath Tribal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY LANGFORD RPH (PHARMACY DIRECTOR)
(541) 783-2438
Entity
Organization
Contact information
Practice address
330 CHILOQUIN BOULEVARD, CHILOQUIN, OR 97624
(541) 783-2438
(541) 783-3554
Mailing address
PO BOX 490, CHILOQUIN, OR 97624-0490
(541) 783-2438
(541) 783-3554
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
2612F0400X
OR
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181550
—
OR
Enumeration date
03/17/2009
Last updated
05/02/2023
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