OrganizationActive
Confederated Tribes of the Goshute Reservation
NPI 1003251638 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Salt Lake City, UT
Provider details
- NPI number
- 1003251638
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Linda Thatcher, Billing(801) 359-2256
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 8547079-1704 (UT)
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Practice location
660 S 200 E Ste 250
Salt Lake City, UT 84111-3846
Phone: (801) 359-2256
Approximate (ZIP-level) locationGet directions
Mailing address
660 S 200 E
Salt Lake City, UT 84111-3835
Registry dates
- Enumerated
- 2013-05-09
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.