Kalispel Indian Community of the Kalispel Reservation Washington
NPI #1649061029 in Cusick, Washington
Provider Information
- NPI Number
- 1649061029
- Entity Type
- Organization
- Organization Name
- Kalispel Indian Community of the Kalispel Reservation Washington
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- May 14, 2025
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 1821 LECLERC RD N STE 1
- City
- Cusick
- State
- Washington
- ZIP Code
- 99119-5015
- Phone
- (509) 447-7111
Authorized Official
- Name
- DARREN HOLMES
- Title
- TRIBAL ADMINSITRATOR
- Phone
- (509) 445-1147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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