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FOND DU LAC RESERVATION BUSINESS COMMITTEE NPI 1346501392


NPI Information

NPI: 1346501392
Provider Name: FOND DU LAC RESERVATION BUSINESS COMMITTEE

Doing Business As: MNAW PHARMACY

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
927 TRETTEL LN
CLOQUET, MN
ZIP 55720
Phone: (218) 879-1227
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FOND DU LAC RESERVATION BUSINESS COMMITTEE is an indian health service tribal urban indian health i t u pharmacy in Cloquet, 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. FOND DU LAC RESERVATION BUSINESS COMMITTEE NPI is 1346501392. The provider is registered as an organization entity type.
The provider Is Doing Business As Mnaw Pharmacy.

The provider's business location address is:

927 TRETTEL LN
CLOQUET, MN
ZIP 55720-345
Phone: (218) 879-1227
Fax: (218) 878-2179

The provider's authorized official is Marilyn Grover .
The authorized official title is Associate Director and has the following contact phone number (218) 879-1227.

The enumeration date for this NPI number is 6/6/2012 and was last updated on 9/11/2017.


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
1332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy260425MINNESOTAYes
23336C0002XPharmacyClinic Pharmacy260425MINNESOTANo

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: 5/5/2024

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