Organization · Type 2 NPI
Fond Du Lac Reservation Business Committee
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Duluth, MN
Practice location
221 W 4th St
Duluth, MN 55806-2719
Fax (218) 279-4077
Mailing address
Fond Du Lac Human Serv Division, 927 Trettel Lane
Cloquet, MN 55720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | 260913 (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.
5 other providers at this address
- Janis A. Greene, LSWSocial Worker Duluth, MN NPI 1306376850
- Joshua Jacob EadesMental Health Counselor Duluth, MN NPI 1831020148
- Katie Jayne SandquistProfessional Counselor Duluth, MN NPI 1386279438
- Shari Marie Gentilini, PharmDPharmacist Duluth, MN NPI 1619117066
- Tricia Lynn Voss, PHARM DPharmacist Duluth, MN NPI 1629593546
About NPI 1629256763
Fond Du Lac Reservation Business Committee's National Provider Identifier is 1629256763, issued on Jan 31, 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 Duluth, MN. The record was last updated on Jul 21, 2022.