Organization · Type 2 NPI

Red Lake Chemical Health Programs

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

NPI number 1730696154 Active

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

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XNone 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.

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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.