Southshore Tribal Health Pharmacy
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
14440 Olympic Drive, Suite B, Clearlake
California, 95422-9545
707-263-8382 707-263-5019
Southshore Tribal Health Pharmacy is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Clearlake, California. This organization is also known as sub part of Lake County Tribal Health Consortium Inc.. It is located at 14440 Olympic Drive, Suite B, Clearlake and it's customer support contact number is 707-263-8382. The authorized person of Southshore Tribal Health Pharmacy is Mr. Thomas Burnett who is It Specialist of the pharmacy and his contact number is 707-263-8382.
Southshore Tribal Health Pharmacy 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:
Southshore Tribal Health Pharmacy 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: | Southshore Tribal Health Pharmacy |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 14440 Olympic Drive, Suite B, Clearlake,
California, 95422-9545 |
| Phone: | 707-263-8382 |
| Fax: | 707-263-5019 |
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: | Mr. Thomas Burnett |
| Position: | It Specialist |
| Contact Number: | 707-263-8382 |
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: | 1376289322 |
| Parent Organization: | Lake County Tribal Health Consortium Inc. |
| NPI Enumeration Date: | 11 May, 2022 |
| NPI Last Update On: | 07 Aug, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southshore Tribal Health Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 925 Bevins Ct,
Lakeport, California |
| Zip: | 95453-9754 |
| Phone Number: | 707-263-8382 |
| Fax Number: | 707-263-5019 |
Patients can reach Southshore Tribal Health Pharmacy at
14440 Olympic Drive, Suite B, Clearlake, California or can
call on customer care at 707-263-8382.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.