Organization · Type 2 NPI

Red Lake Band of Chippewa Indians

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

NPI number 1184250029 Active

Practice location

10200 Highway 89
Redlake, MN 56671-2500

Call (888) 679-2501 Map

Mailing address

PO Box 587
Redlake, MN 56671-0587

Specialties and licenses

Taxonomy	Code	License
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 Redlake

Red Lake Chemical Health Programs OutpatientIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Redlake, MN NPI 1881802411

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NPI record

NPI: 1184250029
Entity type: Organization (Type 2)
Issued: Mar 22, 2020
Last updated: Mar 22, 2020
Status: Active
Subpart: Yes of Red Lake Band of Chippewa Indians

Other names

Red Lake Emergency Response Program (rl) · doing business as

Authorized official

Alisha Marie Gehlert
Director
(218) 679-1461

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 1184250029

Red Lake Band of Chippewa Indians's National Provider Identifier is 1184250029, issued on Mar 22, 2020. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Redlake, MN. The record was last updated on Mar 22, 2020.