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Spirit Lake Tribe
Clinic Pharmacy in Fort Totten, North Dakota
NPI 1265884308

Spirit Lake Tribe is a Clinic Pharmacy based in Fort Totten, ND and is specialized in Clinic Pharmacy. Spirit Lake Tribe practices in Fort Totten, ND. The NPI Number for Spirit Lake Tribe is 1265884308 and holds a License No. PHAR713 (North Dakota).

The current practice location address for Spirit Lake Tribe is 3883 74Th Ave Ne, Fort Totten, ND and can be reached out via phone at 701-766-1612 and via fax at 701-766-1625.

Location: 3883 74Th Ave Ne, Fort Totten, ND, 58335-0309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265884308
Provider Name
Spirit Lake Tribe
Credential
Provider Entity Type
Organization
Address
3883 74Th Ave Ne, Fort Totten, ND, 58335-0309
Phone Number
701-766-1612
Fax Number
701-766-1625
Provider Enumeration Date
07/12/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
3883 74Th Ave Ne
City
Fort Totten
State
North Dakota
Zip
58335
Phone Number
701-766-1612
Fax Number
701-766-1625
person
Provider Business Mailing Address Details
Address
3883 74Th Ave Ne
City
Fort Totten
State
North Dakota
Zip
58335
Phone Number
701-766-1612
Fax Number
701-766-1625
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PHAR713 (North Dakota)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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