Organization · Type 2 NPI
Three Affiliated Tribes Manadree Health Care Tele-Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mandaree, ND
Practice location
305 Main Street
Mandaree, ND 58757
Fax (701) 759-3181
Mailing address
PO Box 625
Mandaree, ND 58757-0625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | 775 (ND) |
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.
About NPI 1063678779
Three Affiliated Tribes Manadree Health Care Tele-Pharmacy's National Provider Identifier is 1063678779, issued on Aug 1, 2008. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Mandaree, ND. The record was last updated on Jan 9, 2015.