| NPI | 1144353343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY J JENKINS CEO 218-335-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-03-30 |