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 |