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Three Affiliated Tribes Manadree Health Care Tele-pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mandaree, North Dakota
NPI 1063678779

Three Affiliated Tribes Manadree Health Care Tele-pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Mandaree, ND. Three Affiliated Tribes Manadree Health Care Tele-pharmacy practices in Mandaree, ND. The NPI Number for Three Affiliated Tribes Manadree Health Care Tele-pharmacy is 1063678779 and holds a License No. 775 (North Dakota).

The current practice location address for Three Affiliated Tribes Manadree Health Care Tele-pharmacy is 305 Main Street, Mandaree, ND and can be reached out via phone at 701-759-3151 and via fax at 701-759-3181.

Location: 305 Main Street, Mandaree, ND, 58757-0625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063678779
Provider Name
Three Affiliated Tribes Manadree Health Care Tele-pharmacy
Credential
Provider Entity Type
Organization
Address
305 Main Street, Mandaree, ND, 58757-0625
Phone Number
701-759-3151
Fax Number
701-759-3181
Provider Enumeration Date
08/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2117699 01 PK
2404 05 ND
institution
Provider Business Practice Location Address Details
Address
305 Main Street
City
Mandaree
State
North Dakota
Zip
58757
Phone Number
701-759-3151
Fax Number
701-759-3181
person
Provider Business Mailing Address Details
Address
305 Main Street
City
Mandaree
State
North Dakota
Zip
58757
Phone Number
701-759-3151
Fax Number
701-759-3181
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
775 (North Dakota)
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.
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