| NPI | 1558387076 |
|---|---|
| Doing Business As | FLANDREAU SANTEE SIOUX TRIBAL HEALTH CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID W WALFORD Biller/Credentialing 605-573-4166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-07-21 |