PHS INDIAN HOSPITAL is an indian health service tribal urban indian health i t u pharmacy in Red Lake, MN. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. PHS INDIAN HOSPITAL NPI is 1063549822. The provider is registered as an organization entity type.
The provider Is Doing Business As Red Lake Indian Hospital Pharmacy.
The provider's business location address is:
24670 HOSPITAL DRIVE
RED LAKE, MN
ZIP 56671
Phone: (218) 679-0173
Fax: (218) 679-0189
The provider's authorized official is Jan Thunder .
The authorized official title is Business Office Manager and has the following contact phone number (218) 679-0148.
The CLIA number assigned to this NPI record is 24D2129285 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/28/2007 and was last updated on 1/19/2024.