Tuolumne Me Wuk Indian Health Center Pharmacy
LBN: Tuolumne Me-Wuk Indian Health Center
Tuolumne Me Wuk Indian Health Center Pharmacy is an health care organization with primary practice located at 18880 Cherry Valley Blvd. , Tuolumne CA 95379-9506. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tuolumne Me-Wuk Indian Health Center can be contacted via phone (209) 928-5400, or through Seo, Joo Yeun via phone (209) 928-5407.
Contact Information
Primary practice address
18880 Cherry Valley Blvd.
Tuolumne CA 95379-9506
Phone: (209) 928-5400
Fax: (209) 928-5413
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY48230 | California |
Profile Details
NPI number | 1699881540 |
---|---|
LBN Legal business name | Tuolumne Me-Wuk Indian Health Center |
DBA Doing business as | Tuolumne Me Wuk Indian Health Center Pharmacy |
Authorized official | Seo, Joo Yeun RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Aug 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699881540 | NPPES |
Other | 2115109 | PK | |
MEDICAID | PHA482300 | PK |
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