| NPI | 1386464402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE JOHNSON Tribal Health Director 605-698-3911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |