| NPI | 1629256763 |
|---|---|
| Doing Business As | FOND DU LAC CAIR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARILYN GROVER Associate Director 218-879-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MN 260913) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2022-07-21 |