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 |