IndividualActive
Thomas Berg, R.PH.
NPI 1255485355 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Inchelium, WA
Provider details
- NPI number
- 1255485355
- Entity type
- Individual
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4214 (SD)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense CF00003827 (WA)
Suppliers
Pharmacy Service Providers
Practice location
39 Shortcut Road
Inchelium, WA 99138-0290
Phone: (509) 722-7009
Fax: (509) 722-7021
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 290
Inchelium, WA 99138-0290
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.