SPIRIT LAKE TRIBE NPI 1265884308

NPI Information

  • NPI: 1265884308
  • Provider Name: SPIRIT LAKE TRIBE
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: SPIRIT LAKE HEALTH CENTER PHARMACY
  • Address: 3883 74TH AVE NE
    FORT TOTTEN, ND
    ZIP 58335
  • Phone: (701) 766-1612

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NPI Details

SPIRIT LAKE TRIBE is a clinic pharmacy pharmacy in Fort Totten, ND. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. SPIRIT LAKE TRIBE NPI is 1265884308. The provider is registered as an organization entity type.
The provider Is Doing Business As Spirit Lake Health Center Pharmacy.

The provider's business location address is:

3883 74TH AVE NE
FORT TOTTEN, ND
ZIP 58335
Phone: (701) 766-1612
Fax: (701) 766-1625

The provider's authorized official is Lynde Monson .
The authorized official title is Chief Pharmacist and has the following contact phone number (701) 766-1612.

The enumeration date for this NPI number is 7/12/2016 and was last updated on 7/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyPHAR713NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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