Organization
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Active
Other names
Cahuilla Indian Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMSEN (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
CAHUILLA INDIAN HEALTH CLINIC PHARMACY, 53000 CAHUILLA ROAD, ANZA, CA 92539-9142
(951) 763-4835
(951) 763-0495
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
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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