| NPI | 1053447599 |
|---|---|
| Doing Business As | CASS LAKE INDIAN HOSPITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KAILEE FRETLAND Principal Pharmacy Consultant 240-478-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MN 2603942) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-10-23 |