Washoe Tribe of Nevada and California
NPI #1447273438 in Gardnerville, Nevada
Provider Information
- NPI Number
- 1447273438
- Entity Type
- Organization
- Organization Name
- Washoe Tribe of Nevada and California
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Dec 10, 2014
Practice Location
- Address
- 1559 WATASHEAMU RD
- City
- Gardnerville
- State
- Nevada
- ZIP Code
- 89460-7455
- Phone
- (775) 265-4215
Authorized Official
- Name
- LOREN ELLERY, PHARM D
- Title
- CLINIC DIRECTOR
- Phone
- (775) 265-4215
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