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Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Lac Du Flambeau, Wisconsin
NPI 1447271408

Lac Du Flambeau Band Of Lake Superior Chippewa Indians is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Lac Du Flambeau, WI. Lac Du Flambeau Band Of Lake Superior Chippewa Indians practices in Lac Du Flambeau, WI. The NPI Number for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 1447271408 and holds a License No. 8933-042 (Wisconsin).

The current practice location address for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 129 Old Abe Rd, Lac Du Flambeau, WI and can be reached out via phone at 715-588-3371 and via fax at 715-588-2039.

Location: 129 Old Abe Rd, Lac Du Flambeau, WI, 54538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447271408
Provider Name
Lac Du Flambeau Band Of Lake Superior Chippewa Indians
Credential
Provider Entity Type
Organization
Address
129 Old Abe Rd, Lac Du Flambeau, WI, 54538
Phone Number
715-588-3371
Fax Number
715-588-2039
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32956800 05 WI
5122382 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
129 Old Abe Rd
City
Lac Du Flambeau
State
Wisconsin
Zip
54538
Phone Number
715-588-3371
Fax Number
715-588-2039
person
Provider Business Mailing Address Details
Address
129 Old Abe Rd
City
Lac Du Flambeau
State
Wisconsin
Zip
54538
Phone Number
715-588-3371
Fax Number
715-588-2039
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.
8933-042 (Wisconsin)
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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