Organization
PUYALLUP TRIBAL HEALTH AUTHORITY
Active
Other names
PUYALLUP TRIBAL HEALTH AUTHORITY, PTHA-PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRIS HENRY (EXECUTIVE DIRECTOR)
(253) 593-0232
Entity
Organization
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404
(253) 593-0232
(253) 382-2091
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 382-2091
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17462
LABOR & INDUSTRIES
WA
01
—
4925357
NCPD
WA
05
—
6021372
—
WA
Enumeration date
02/23/2007
Last updated
07/13/2018
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