Squaxin Island Tribe

NPI #1548378318 in Shelton, Washington

Provider Information

NPI Number
1548378318
Entity Type
Organization
Organization Name
Squaxin Island Tribe
Subpart
Yes (part of a larger organization)
Parent Organization
SQUAXIN ISLAND TRIBE
Primary Specialty
Pharmacist
Enumeration Date
Aug 29, 2006
Last Updated
Jul 25, 2008

Practice Location

Address
90 SE KLAH CHE MIN DRIVE
ZIP Code
98584
Phone
(360) 427-9006

Authorized Official

Name
EDWARD J FOX, PHD
Title
HHS DIRECTOR
Phone
(360) 427-9006

Specialties & Taxonomy Codes

Specialty
Pharmacist

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