NPI | 1275606808 |
---|---|
Doing Business As | RED CLIFF COMM HEALTH CENTER PHY |
Entity Type | Organization |
Authorized Contact | RICHARD PETERSON Tribal Chairman 715-779-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
3336C0002X Pharmacy, Clinic Pharmacy | |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2018-07-19 |