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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
40520 COUNTY HIGHWAY 34 OGEMA, MN 56569 US
Tel: 218-983-6375 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 332800000X | Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
246753400 | MN | 05 | |
PK | 2047418 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin