| NPI | 1063549822 |
|---|---|
| Doing Business As | RED LAKE INDIAN HOSPITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAN THUNDER Business Office Manager 218-679-0148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MN 2604653) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-01-19 |