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WHITE EARTH INDIAN HEALTH CENTER PHARMACY

Medical Equipment Supplier Yellow Pages

Ogema, Minnesota

Provider NPI: 1922024876

Organization Information:
Organization Name:  WHITE EARTH INDIAN HEALTH CENTER PHARMACY


Practice Location:
40520 COUNTY HIGHWAY 34  OGEMA, MN 56569 US
Tel: 218-983-6375  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
Y332800000XSuppliers
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
246753400MN05
PK204741801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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