Confederated Tribes of the Goshute Reservation
NPI #1003251638 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003251638
- Entity Type
- Organization
- Organization Name
- Confederated Tribes of the Goshute Reservation
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- May 9, 2013
- Last Updated
- Dec 11, 2025
Practice Location
- Address
- 660 S 200 E STE 250
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84111-3846
- Phone
- (801) 359-2256
Authorized Official
- Name
- LINDA THATCHER
- Title
- BILLING
- Phone
- (801) 359-2256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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