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Fond Du Lac Reservation Business Committee
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Duluth, Minnesota
NPI 1629256763

Fond Du Lac Reservation Business Committee is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Cloquet, MN. Fond Du Lac Reservation Business Committee practices in Duluth, MN. The NPI Number for Fond Du Lac Reservation Business Committee is 1629256763 and holds a License No. 260913 (Minnesota).

The current practice location address for Fond Du Lac Reservation Business Committee is 221 W 4Th St, Duluth, MN and can be reached out via phone at 218-279-4142 and via fax at 218-279-4077.

Location: 221 W 4Th St, Duluth, MN, 55720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629256763
Provider Name
Fond Du Lac Reservation Business Committee
Credential
Provider Entity Type
Organization
Address
221 W 4Th St, Duluth, MN, 55720
Phone Number
218-279-4142
Fax Number
218-279-4077
Provider Enumeration Date
01/31/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
66815100 05 MN
2047381 01 PK
institution
Provider Business Practice Location Address Details
Address
221 W 4Th St
City
Duluth
State
Minnesota
Zip
55806-2719
Phone Number
218-279-4142
Fax Number
218-279-4077
person
Provider Business Mailing Address Details
Address
221 W 4Th St
City
Duluth
State
Minnesota
Zip
55806-2719
Phone Number
218-279-4142
Fax Number
218-279-4077
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.
260913 (Minnesota)
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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