OrganizationActive
David C Wynecoop Memorial Clinic
NPI 1003963000 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Wellpinit, WA
Provider details
- NPI number
- 1003963000
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Wiles, Administrative Officer(509) 258-4517
Specialties & taxonomies
Suppliers
Practice location
6203 Agency Loop Road
Wellpinit, WA 99040-0357
Phone: (509) 258-4517
Fax: (509) 258-7152
Approximate (ZIP-level) locationGet directions
Mailing address
6203 Agency Loop Road
Wellpinit, WA 99040-0357
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.