Organization
RIVERSIDE SAN BERNARDINO COUNTY INDIAN HEALTH INC
Active
Other names
TORRES MARTINEZ INDIAN HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMSEN (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
66655 MARTINEZ RD, THERMAL, CA 92274-9007
(760) 397-4476
(951) 225-6879
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
(951) 225-6879
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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