Riverside-san Bernardino County Indian Health Inc
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
11980 Mount Vernon Ave, Grand Terrace
California, 92313-5172
909-864-1097 909-503-1218
Riverside-san Bernardino County Indian Health Inc is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Grand Terrace, California. It is located at 11980 Mount Vernon Ave, Grand Terrace and it's customer support contact number is 909-864-1097. The authorized person of Riverside-san Bernardino County Indian Health Inc is Jeevan Dhouni, BS who is Director Of Pharmacy of the pharmacy and his contact number is 909-864-1097. Active license number of Riverside-san Bernardino County Indian Health Inc is PHY52145 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in California.
Riverside-san Bernardino County Indian Health Inc is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Pharmacy Details:
Riverside-san Bernardino County Indian Health Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Riverside-san Bernardino County Indian Health Inc |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 11980 Mount Vernon Ave, Grand Terrace,
California, 92313-5172 |
| Phone: | 909-864-1097 |
| Fax: | 909-503-1218 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jeevan Dhouni |
| Credentials: | BS |
| Position: | Director Of Pharmacy |
| Contact Number: | 909-864-1097 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1174724637 |
| NPI Enumeration Date: | 30 May, 2007 |
| NPI Last Update On: | 09 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Riverside-san Bernardino County Indian Health Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | PHY52145 | California | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1993983 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11980 Mount Vernon Ave,
Grand Terrace, California |
| Zip: | 92313-5172 |
| Phone Number: | 909-864-1097 |
| Fax Number: | 909-503-1218 |
Patients can reach Riverside-san Bernardino County Indian Health Inc at
11980 Mount Vernon Ave, Grand Terrace, California or can
call on customer care at 909-864-1097.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.