Organization · Type 2 NPI

Cass Lake Indian Hospital Pharmacy

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

NPI number 1053447599 Active

Practice location

425 7th St NW
Cass Lake, MN 56633-3360

Call (218) 335-3313 Map

Fax (218) 335-3352

Mailing address

PO Box 95421
Cleveland, OH 44101-0033

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	2603942 (MN)
Pharmacy	333600000X	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.

109 other providers at this address

NPI record

NPI: 1053447599
Entity type: Organization (Type 2)
Issued: Feb 27, 2007
Last updated: Oct 23, 2023
Status: Active

Other names

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Cass Lake Indian Hospital Pharmacy · doing business as
Cass Lake Indian Hospital Pharmacy · doing business as

Authorized official

Kailee Fretland, PharmD
Principal Pharmacy Consultant
(240) 478-2245

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 1053447599

Cass Lake Indian Hospital Pharmacy's National Provider Identifier is 1053447599, issued on Feb 27, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Cass Lake, MN. The record was last updated on Oct 23, 2023.