Organization · Type 2 NPI

White Earth Indian Health Center Pharmacy

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

NPI number 1922024876 Active

Practice location

40520 County Highway 34
Ogema, MN 56569-9612

Fax (218) 983-6384

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.

73 other providers at this address

NPI record

NPI: 1922024876
Entity type: Organization (Type 2)
Issued: Jul 14, 2006
Last updated: Jun 21, 2022
Status: Active
Subpart: Yes of White Earth Indian Health Center

Other names

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White Earth Indian Health Center Pharmacy · doing business as

Authorized official

Leeann Marie Thorson
Deputy CEO
(218) 983-6303

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922024876

White Earth Indian Health Center Pharmacy's National Provider Identifier is 1922024876, issued on Jul 14, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Ogema, MN. The record was last updated on Jun 21, 2022.