| NPI | 1457136418 |
|---|---|
| Doing Business As | MITIGOONS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LUCY PARISH DEWILDT Assistant Hhs Director 906-248-8372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |