NPI | 1326805581 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE ANDERSEN Revenue Manager 218-679-1320 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-03-04 |