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Stockbridge Munsee Community
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Bowler, Wisconsin
NPI 1942331467

Stockbridge Munsee Community is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Bowler, WI. Stockbridge Munsee Community practices in Bowler, WI. The NPI Number for Stockbridge Munsee Community is 1942331467 and holds a License No. (Wisconsin).

The current practice location address for Stockbridge Munsee Community is W12802 County Road A, Bowler, WI and can be reached out via phone at 715-793-4144 and via fax at 715-793-4120.

Location: W12802 County Road A, Bowler, WI, 54416-0086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942331467
Provider Name
Stockbridge Munsee Community
Credential
Provider Entity Type
Organization
Address
W12802 County Road A, Bowler, WI, 54416-0086
Phone Number
715-793-4144
Fax Number
715-793-4120
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5118799 01 WI NCPDC-PHARMACY
33021000 05 WI
institution
Provider Business Practice Location Address Details
Address
W12802 County Road A
City
Bowler
State
Wisconsin
Zip
54416-0086
Phone Number
715-793-4144
Fax Number
715-793-4120
person
Provider Business Mailing Address Details
Address
W12802 County Road A
City
Bowler
State
Wisconsin
Zip
54416-0086
Phone Number
715-793-4144
Fax Number
715-793-4120
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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