Organization · Type 2 NPI
Red Lake Chemical Health Programs
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Redby, MN
Practice location
14414 Green Lake Road
Redby, MN 56670
Fax (218) 679-3398
Mailing address
P.o. Box 114
Red Lake, MN 56671
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 Redby
About NPI 1730696154
Red Lake Chemical Health Programs's National Provider Identifier is 1730696154, issued on Jan 8, 2018. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Redby, MN. The record was last updated on Jan 8, 2018.