institution
Fond Du Lac Reservation Business Committee
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Minneapolis, Minnesota
NPI 1700064714

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 Minneapolis, MN. The NPI Number for Fond Du Lac Reservation Business Committee is 1700064714 and holds a License No. 263031 (Minnesota).

The current practice location address for Fond Du Lac Reservation Business Committee is 2020 Bloomington Ave, Minneapolis, MN and can be reached out via phone at 612-871-1989 and via fax at 612-222-3463.

Location: 2020 Bloomington Ave, Minneapolis, MN, 55720
institution
Provider Profile Details
NPI Number
1700064714
Provider Name
Fond Du Lac Reservation Business Committee
Credential
Provider Entity Type
Organization
Address
2020 Bloomington Ave, Minneapolis, MN, 55720
Phone Number
612-871-1989
Fax Number
612-222-3463
Provider Enumeration Date
02/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2428349 01 MN NCPDP
666815100 05 MN
institution
Provider Business Practice Location Address Details
Address
2020 Bloomington Ave
City
State
Zip
55404-3073
Phone Number
612-871-1989
Fax Number
612-222-3463
person
Provider Business Mailing Address Details
Address
2020 Bloomington Ave
City
State
Zip
55404-3073
Phone Number
612-871-1989
Fax Number
612-222-3463
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
License No.
263031 (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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