| Organization Name: | INDIAN HEALTH COUNCIL PHARMACY |
| NPI Number: | 1821030446 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT SCHOSTAG (PHARMACY DIRECTOR) |
| Mailing Address: | 50100 Golsh Rd Valley Center |
| State: | CA US |
| Postal Code: | 92082 |
| Phone Number: | 7607491410 |
| Fax Number: | 7607490225 |
| NPI Enumeration Date: | 06/11/2006 |
| NPI Last Update Date: | 11/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |