FOND DU LAC RESERVATION BUSINESS COMMITTEE is an indian health service tribal urban indian health i t u pharmacy in Minneapolis, 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 1700064714. The provider is registered as an organization entity type.
The provider Is Doing Business As Mashkiki Waakaaigan Pharmacy.
The provider's business location address is:
2020 BLOOMINGTON AVE
MINNEAPOLIS, MN
ZIP 55404-073
Phone: (612) 871-1989
Fax: (612) 222-3463
The provider's authorized official is Marilyn Grover .
The authorized official title is Associate Director and has the following contact phone number (218) 878-2101.
The CLIA number assigned to this NPI record is 24D2272073 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/1/2008 and was last updated on 10/12/2017.