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Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Ashland, Wisconsin
NPI 1780702829

Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Ashland, WI. Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. practices in Ashland, WI. The NPI Number for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. is 1780702829 and holds a License No. (Wisconsin).

The current practice location address for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis. is 53585 Nokomis Road, Ashland, WI and can be reached out via phone at 715-682-7133 and via fax at 715-685-8810.

Location: 53585 Nokomis Road, Ashland, WI, 54806-4272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780702829
Provider Name
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis.
Credential
Provider Entity Type
Organization
Address
53585 Nokomis Road, Ashland, WI, 54806-4272
Phone Number
715-682-7133
Fax Number
715-685-8810
Provider Enumeration Date
03/27/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
32787800 05 WI
institution
Provider Business Practice Location Address Details
Address
53585 Nokomis Road
City
Ashland
State
Wisconsin
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-8810
person
Provider Business Mailing Address Details
Address
53585 Nokomis Road
City
Ashland
State
Wisconsin
Zip
54806-4272
Phone Number
715-682-7133
Fax Number
715-685-8810
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.
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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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