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Red Lake Kai Shin Sud Outpatient
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bemidji, Minnesota
NPI 1326805581

Red Lake Kai Shin Sud Outpatient is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Redlake, MN. Red Lake Kai Shin Sud Outpatient practices in Bemidji, MN. The NPI Number for Red Lake Kai Shin Sud Outpatient is 1326805581 and holds a License No. (Minnesota).

The current practice location address for Red Lake Kai Shin Sud Outpatient is 705 5Th St Nw Ste D, Bemidji, MN and can be reached out via phone at 651-447-3755. You can also correspond with Red Lake Kai Shin Sud Outpatient through the mailing address at PO BOX 566, REDLAKE, MN - 56671-0566 (mailing address contact number: 218-679-1320).

Location: 705 5Th St Nw Ste D, Bemidji, MN, 56671-0566
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326805581
Provider Name
Red Lake Kai Shin Sud Outpatient
Credential
Provider Entity Type
Organization
Address
705 5Th St Nw Ste D, Bemidji, MN, 56671-0566
Phone Number
651-447-3755
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
705 5Th St Nw Ste D
City
Bemidji
State
Minnesota
Zip
56601-2933
Phone Number
651-447-3755
Fax Number
person
Provider Business Mailing Address Details
Address
705 5Th St Nw Ste D
City
Bemidji
State
Minnesota
Zip
56601-2933
Phone Number
651-447-3755
Fax Number
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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