institution
Cass Lake Indian Hospital Pharmacy
Pharmacy in Cass Lake, Minnesota
NPI 1053447599

Cass Lake Indian Hospital Pharmacy is a Pharmacy based in Cleveland, MN. Cass Lake Indian Hospital Pharmacy practices in Cass Lake, MN. The NPI Number for Cass Lake Indian Hospital Pharmacy is 1053447599 and holds a License No. 2603942 (Minnesota).

The current practice location address for Cass Lake Indian Hospital Pharmacy is 425 7Th St Nw, Cass Lake, MN and can be reached out via phone at 218-335-3313 and via fax at 218-335-3352.

Location: 425 7Th St Nw, Cass Lake, MN, 44101-0033
institution
Provider Profile Details
NPI Number
1053447599
Provider Name
Cass Lake Indian Hospital Pharmacy
Credential
Provider Entity Type
Organization
Address
425 7Th St Nw, Cass Lake, MN, 44101-0033
Phone Number
218-335-3313
Fax Number
218-335-3352
Provider Enumeration Date
02/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2046504 01 PK
966553600 05 MN
institution
Provider Business Practice Location Address Details
Address
425 7Th St Nw
City
State
Zip
56633-3360
Phone Number
218-335-3313
Fax Number
218-335-3352
person
Provider Business Mailing Address Details
Address
425 7Th St Nw
City
State
Zip
56633-3360
Phone Number
218-335-3313
Fax Number
218-335-3352
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
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Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
2603942 (Minnesota)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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