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General NPI Number Information
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NPI Number | 1922970458
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Entity Type | Organization
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Legal Business Name | PORT GAMBLE S'KLALLAM TRIBE
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 32014 LITTLE BOSTON RD NE
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City | KINGSTON
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State | WA
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Zip | 98346-9734
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Country | US
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Telephone | 833-573-4348
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Fax | 360-360-2310
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Provider Business Mailing Address
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Address Line | 416 S TYLER ST
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City | AMARILLO
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State | TX
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Zip | 79101-2346
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Country | US
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Telephone | 806-242-7782
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Fax | 360-360-2310
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Authorized Official
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Title or Position | PRESIDENT OF PHARMACY SERVICES
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Name | JOEL WRIGHT
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Credential |
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Telephone | 806-242-7782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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