Organization · Type 2 NPI

Fond Du Lac Reservation Business Committee

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

NPI number 1346501392 Active

Practice location

927 Trettel Ln
Cloquet, MN 55720-1345

Fax (218) 878-2179

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000X260425 (MN)
Clinic Pharmacy 3336C0002X260425 (MN)

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.

76 other providers at this address

About NPI 1346501392

Fond Du Lac Reservation Business Committee's National Provider Identifier is 1346501392, issued on Jun 6, 2012. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Cloquet, MN. The record was last updated on Sep 11, 2017.