Organization
NOT-TSOO GAH-NEE INDIAN HEALTH CENTER PHARMACY
Active
Other names
Fort Hall Indian Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BATTESE (AREA BUSINESS OFFICE COORDINATOR)
(503) 326-7277
Entity
Organization
Contact information
Practice address
ROUTE 6 MISSION RD, FORT HALL, ID 83203
(208) 238-5429
(208) 238-5461
Mailing address
ROUTE 6 MISSION RD, PO BOX 717, FORT HALL, ID 83203
(208) 238-5429
(208) 238-5461
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1305932
NCPDP
—
Enumeration date
03/05/2007
Last updated
03/07/2023
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