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Menominee Indian Tribe Of Wisconsin
Clinic Pharmacy in Keshena, Wisconsin
NPI 1972545010

Menominee Indian Tribe Of Wisconsin is a Clinic Pharmacy based in Keshena, WI and is specialized in Clinic Pharmacy. Menominee Indian Tribe Of Wisconsin practices in Keshena, WI. The NPI Number for Menominee Indian Tribe Of Wisconsin is 1972545010 and holds a License No. 7848-042 (Wisconsin).

The current practice location address for Menominee Indian Tribe Of Wisconsin is W3275 Wolf River Road, Keshena, WI and can be reached out via phone at 715-799-3361 and via fax at 715-799-3099.

Location: W3275 Wolf River Road, Keshena, WI, 54135-0970
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972545010
Provider Name
Menominee Indian Tribe Of Wisconsin
Credential
Provider Entity Type
Organization
Address
W3275 Wolf River Road, Keshena, WI, 54135-0970
Phone Number
715-799-3361
Fax Number
715-799-3099
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32955700 05 WI
5118446 01 NAPB #
institution
Provider Business Practice Location Address Details
Address
W3275 Wolf River Road
City
Keshena
State
Wisconsin
Zip
54135
Phone Number
715-799-3361
Fax Number
715-799-3099
person
Provider Business Mailing Address Details
Address
W3275 Wolf River Road
City
Keshena
State
Wisconsin
Zip
54135
Phone Number
715-799-3361
Fax Number
715-799-3099
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
7848-042 (Wisconsin)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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