Whalio Doctors

NPI 1902954944

Riverside San Bernardino County Indian Health INC

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Banning, CA

Practice location

Address
11555 1/2 Potrero Rd, Banning, CA 92220-6946
Phone
(951) 849-4761
Fax
(951) 849-0681
Mailing address
11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172

Authorised official

Name
Sue Yoon
Title
Director of Pharmacy
Phone
(909) 864-1097

Registered specialties (2)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X Licence PHY32790 (CA)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1902954944
Entity type
Organization
NPI issued
8 Jan 2007
Record last updated
29 Mar 2017

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.