Klamath Tribal Pharmacy - Chiloquin

LBN: Klamath Tribal Health & Family Services
Klamath Tribal Pharmacy - Chiloquin is an health care organization with primary practice located at 330 S Chiloquin Blvd , Chiloquin OR 97624-6747. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Klamath Tribal Health & Family Services can be contacted via phone (541) 783-2438, or through Langford, Timothy George via phone (541) 882-1487.

Contact Information

Primary practice address
330 S Chiloquin Blvd Chiloquin OR 97624-6747
Phone: (541) 783-2438
Fax: (541) 783-3554
Website:
Map and Directions
Authorized official contact:
Name: Langford, Timothy George PHARMD
Phone: (541) 882-1487

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1639290778
LBN Legal business name Klamath Tribal Health & Family Services
DBA Doing business as Klamath Tribal Pharmacy - Chiloquin
Authorized official Langford, Timothy George PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639290778 NPPES
Other 2078297 PK
MEDICAID 115761 PK

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