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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