Shoshone Paiute Tribes

NPI #1912205378 in Owyhee, Nevada

Provider Information

NPI Number: 1912205378
Entity Type: Organization
Organization Name: Shoshone Paiute Tribes
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Mar 9, 2011
Last Updated: Apr 7, 2015

Practice Location

Address: 1623 HOSPITAL LOOP
City: Owyhee
State: Nevada
ZIP Code: 89832-1200
Phone: (775) 757-2415

Authorized Official

Name: RULAN STANDS
Title: ACTING TRIBAL ADMINISTRATOR
Phone: (775) 757-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Specialty Pharmacy — Specialty Pharmacy	3336S0011X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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