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Three Affiliated Tribes White Shield Healthcare Telepharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Roseglen, North Dakota
NPI 1124284914

Three Affiliated Tribes White Shield Healthcare Telepharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Roseglen, ND. Three Affiliated Tribes White Shield Healthcare Telepharmacy practices in Roseglen, ND. The NPI Number for Three Affiliated Tribes White Shield Healthcare Telepharmacy is 1124284914 and holds a License No. 777 (North Dakota).

The current practice location address for Three Affiliated Tribes White Shield Healthcare Telepharmacy is 2 Main Street B, Roseglen, ND and can be reached out via phone at 701-743-4163 and via fax at 701-743-4164.

Location: 2 Main Street B, Roseglen, ND, 58775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124284914
Provider Name
Three Affiliated Tribes White Shield Healthcare Telepharmacy
Credential
Provider Entity Type
Organization
Address
2 Main Street B, Roseglen, ND, 58775
Phone Number
701-743-4163
Fax Number
701-743-4164
Provider Enumeration Date
08/01/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2117660 01 PK
institution
Provider Business Practice Location Address Details
Address
2 Main Street B
City
Roseglen
State
North Dakota
Zip
58775
Phone Number
701-743-4163
Fax Number
701-743-4164
person
Provider Business Mailing Address Details
Address
2 Main Street B
City
Roseglen
State
North Dakota
Zip
58775
Phone Number
701-743-4163
Fax Number
701-743-4164
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.
777 (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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