NPI 1710423793
Shingle Springs Rancheria
Practice location
- Address
- 5168 Honpie Rd 5th Floor, Placerville, CA 95667-8682
- Phone
- (530) 387-8215
- Fax
- (530) 676-4416
Authorised official
- Name
- John Bodtker
- Title
- Director of Pharmacy/Pic/Ao
- Phone
- (530) 387-8005
Registered specialties (4)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Community/Retail Pharmacy
Registry record
- NPI
- 1710423793
- Entity type
- Organization
- NPI issued
- 13 Jan 2017
- Record last updated
- 19 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.