| NPI | 1700064714 |
|---|---|
| Doing Business As | MASHKIKI WAAKAAIGAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARILYN GROVER Associate Director 218-878-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MN 263031) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2017-10-12 |