NPI | 1922024876 |
---|---|
Doing Business As | WHITE EARTH INDIAN HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | LEEANN MARIE THORSON Deputy CEO 218-983-6303 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Enumeration Date | 2006-07-14 |
Last Update Date | 2022-06-21 |