| NPI | 1972666469 |
|---|---|
| Other Name | BOIS FORTE RESERVATION TRIBAL GOVERNMENT |
| Entity Type | Organization |
| Authorized Contact | JULIE CORRADI Pharmacist 218-757-3650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MN 261489-2) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-05-16 |