| NPI | 1972139814 |
|---|---|
| Doing Business As | RED LAKE EMERGENCY RESPONSE PROGRAM (W) |
| Entity Type | Organization |
| Authorized Contact | ALISHA MARIE GEHLERT Director 218-679-1461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |