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Pine Ridge Indian Health Service Hospital
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Wanblee, South Dakota
NPI 1174653752

Pine Ridge Indian Health Service Hospital is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Chicago, SD. Pine Ridge Indian Health Service Hospital practices in Wanblee, SD. The NPI Number for Pine Ridge Indian Health Service Hospital is 1174653752 and holds a License No. (South Dakota).

The current practice location address for Pine Ridge Indian Health Service Hospital is 210 1St St, Wanblee, SD and can be reached out via phone at 605-462-6155 and via fax at 605-462-6551.

Location: 210 1St St, Wanblee, SD, 60677-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174653752
Provider Name
Pine Ridge Indian Health Service Hospital
Credential
Provider Entity Type
Organization
Address
210 1St St, Wanblee, SD, 60677-3001
Phone Number
605-462-6155
Fax Number
605-462-6551
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5540040 05 SD
4304907 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577
Phone Number
605-462-6155
Fax Number
605-462-6551
person
Provider Business Mailing Address Details
Address
210 1St St
City
Wanblee
State
South Dakota
Zip
57577
Phone Number
605-462-6155
Fax Number
605-462-6551
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.
()
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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