Sonoma County Indian Health Project Pharmacy

LBN: Sonoma County Indian Health Project, Inc
Sonoma County Indian Health Project Pharmacy is an health care organization with primary practice located at 144 Stony Point Rd , Santa Rosa CA 95401-4122. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sonoma County Indian Health Project, Inc can be contacted via phone (707) 521-4585, or through Arterberry, Betty via phone (707) 521-4660.

Contact Information

Primary practice address
144 Stony Point Rd Santa Rosa CA 95401-4122
Fax: (707) 521-4599
Website:
Authorized official contact:
Name: Arterberry, Betty

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY45307 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1568461267
LBN Legal business name Sonoma County Indian Health Project, Inc
DBA Doing business as Sonoma County Indian Health Project Pharmacy
Authorized official Arterberry, Betty
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2005
Last updated Aug 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568461267 NPPES
California Other 0557910 NCPDP #
California MEDICAID PHA45307 NCPDP #

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