Organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Active
Other names
Klamath Tribal Pharmacy - Chiloquin, KLAMATH TRIBAL HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY GEORGE LANGFORD PHARMD (PHARMACY DIRECTOR)
(541) 882-1487
Entity
Organization
Contact information
Practice address
330 S CHILOQUIN BLVD, CHILOQUIN, OR 97624-6747
(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
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115761
—
OR
01
—
2078297
PK
—
Enumeration date
04/03/2007
Last updated
07/17/2023
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