Southshore Tribal Health Pharmacy
Southshore Tribal Health Pharmacy is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Clearlake, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
14440 Olympic Dr Ste BClearlake, CA 95422-9545
Phone: (707) 263-8382
Fax: (707) 263-5019
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X |
|---|
Record details
| NPI number | 1376289322 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lake County Tribal Health Consortium Inc |
| Authorized official | Thomas Burnett — It Specialist · (707) 263-8382 |
| NPI enumerated | May 11, 2022 |
| Last updated in NPPES | August 7, 2024 |
| Certification date | August 7, 2024 |
| Mailing address | 925 Bevins Ct, Lakeport, CA 95453-9754 |