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Spirit Lake Health Center Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Fort Totten, North Dakota
NPI 1568592137

Spirit Lake Health Center Pharmacy is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Chicago, ND. Spirit Lake Health Center Pharmacy practices in Fort Totten, ND. The NPI Number for Spirit Lake Health Center Pharmacy is 1568592137 and holds a License No. (North Dakota).

The current practice location address for Spirit Lake Health Center Pharmacy 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, 60677-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568592137
Provider Name
Spirit Lake Health Center Pharmacy
Credential
Provider Entity Type
Organization
Address
3883 74Th Ave Ne, Fort Totten, ND, 60677-3001
Phone Number
701-766-1612
Fax Number
701-766-1625
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01051 05 ND
1061SP 05 ND
3503693 01 NCPDP PROVIDER IDENTIFICATION NUMBER
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
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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