| NPI | 1972725240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLY L APLAND Health De PT Director Of Finance 715-284-9851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: WI 8332-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-04-06 |