Organization · Type 2 NPI

Warrior Down - Peer Recovery Support

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Red Lake, MN

NPI number 1003332057 Active

Practice location

15533 Main Avenue
Red Lake, MN 56671-0114

Call (218) 679-3392 Map

Mailing address

P.o. Box 114
Red Lake, MN 56671

Other practice locations

25064 Highway 1 East, Red Lake, MN 56671 · (218) 679-3995

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility	324500000X	None listed
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	None listed

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.

Other indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Red Lake

See all in Red Lake →

NPI record

NPI: 1003332057
Entity type: Organization (Type 2)
Issued: Aug 21, 2017
Last updated: Nov 27, 2024
Status: Active

Other names

<unavail>
Red Lake Detention Outpatient · former legal business name
Red Lake Detention Outpatient · former legal business name

Authorized official

Ms. Salena Beasley
Admin Officer
(218) 679-3392

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003332057

Warrior Down - Peer Recovery Support's National Provider Identifier is 1003332057, issued on Aug 21, 2017. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Red Lake, MN. The record was last updated on Nov 27, 2024.