National Provider Identifier Database

CHINLE HEALTH CARE PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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.


Contact Information

CHINLE HEALTH CARE PHARMACY
OFF HWY 191 HOSPITAL ROAD
CHINLE, AZ86503
Phone: 928-674-7042
Fax: 928-674-7463
Website:
Specialty Taxonomy Code
* Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

* Indicates primary specialty

NPI Profile & details for CHINLE HEALTH CARE PHARMACY

NPI Number 1255460127
Legal business name
LBN
CHINLE HEALTH CARE PHARMACY
Authorized official NIVEDITA DAS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 03/05/2007
Last updated 07/24/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 21171
  • Other: 0322507 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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