OrganizationActive
Ihc Santa Ysabel Pharmacy
NPI 1407252588 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Santa Ysabel, CA
Provider details
- NPI number
- 1407252588
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Robert Schostag, Pharmacy Director(760) 749-1410
- License
- PHY46552 (CA)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense PHY46552 (CA)
Suppliers
Practice location
110 1/2 School House Canyon Road
Santa Ysabel, CA 92070
Phone: (760) 233-5587
Fax: (760) 765-3769
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10
Santa Ysabel, CA 92070-0010
Other names (DBA / former)
- Doing business as
- Ihc Santa Ysabel Pharmacy
Registry dates
- Enumerated
- 2014-11-17
- Last updated
- 2014-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.