NPI | 1780702829 |
---|---|
Doing Business As | BAD RIVER CLINIC PHARMACY |
Entity Type | Organization |
Authorized Contact | ROBERT BLANCHARD Tribal CEO 715-682-7111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-01-18 |