RED LAKE CHEMICAL HEALTH PROGRAMS NPI 1730696154

NPI Information

  • NPI: 1730696154
  • Provider Name: RED LAKE CHEMICAL HEALTH PROGRAMS
  • Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
  • Entity Type: Organization
  • Former Legal Business Name: RED LAKE GROUP HOME
  • Address: 14414 GREEN LAKE ROAD
    REDBY, MN
    ZIP 56670
  • Phone: (218) 679-3868

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NPI Details

RED LAKE CHEMICAL HEALTH PROGRAMS is an indian health service tribal urban indian health i t u pharmacy in Redby, 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. RED LAKE CHEMICAL HEALTH PROGRAMS NPI is 1730696154. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Red Lake Group Home.

The provider's business location address is:

14414 GREEN LAKE ROAD
REDBY, MN
ZIP 56670
Phone: (218) 679-3868
Fax: (218) 679-3398

The provider's authorized official is Reyna Cruz Gonzalez-rivera .
The authorized official title is Project Director and has the following contact phone number (218) 679-3392.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.

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) PharmacyYes

What is NPI?

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

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