Riverside San Bernardino County Indian Health Inc, NPI 1902954944
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Banning, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1902954944 |
| NPI Entity Type | Organization |
| Provider Name |
Riverside San Bernardino County Indian Health Inc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 11555 1/2 Potrero Rd, Banning, CA, US |
| Provider Mailing Address | 11980 Mount Vernon Ave, Grand Terrace, CA, US, 923135172 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | BS Sue Yoon |
| Official Position | DIRECTOR OF PHARMACY |
| Phone | 909-864-1097 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Classification |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Group | |
| License No. | PHY32790 |
| License State | CA |
| Description | An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1998432 | PK | 01 | |
| FHC03854 | CA | MEDICAID | 05 |
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