Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Other names
United Indian Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KANAKO MIYAMOTO (PHARMACY DIRECTOR)
(707) 825-4095
Entity
Organization
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5020
(707) 825-6879
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-4177
(707) 825-6879
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
45313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991351
PK
—
05
—
PHA453130
—
CA
Enumeration date
11/02/2006
Last updated
07/08/2022
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