Organization
NORTHERN INYO HEALTHCARE DISTRICT
Active
Organization
NORTHERN INYO HEALTHCARE DISTRICT
Active
Other names
NORTHERN INYO HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN WALLIS (CHIEF EXECUTIVE OFFICER)
(760) 873-2838
Entity
Organization
Contact information
Practice address
150 PIONEER LN, BISHOP, CA 93514-2556
(760) 873-5811
Mailing address
150 PIONEER LN, BISHOP, CA 93514-2556
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AN4435942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557059
NCPDP NUMBER
CA
Enumeration date
06/30/2015
Last updated
04/29/2025
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