Organization · Type 2 NPI
St. Croix Chippewa Indians of Wi
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Siren, WI
Practice location
24106 State Road 35 70
Siren, WI 54872-8006
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.
2 other providers at this address
About NPI 1821810565
St. Croix Chippewa Indians of Wi's National Provider Identifier is 1821810565, issued on Oct 24, 2024. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Siren, WI. The record was last updated on Oct 24, 2024.