Red Lake Band of Chippewa Indians

NPI #1184250029 in Redlake, Minnesota

Provider Information

NPI Number
1184250029
Entity Type
Organization
Organization Name
Red Lake Band of Chippewa Indians
Subpart
Yes (part of a larger organization)
Parent Organization
RED LAKE BAND OF CHIPPEWA INDIANS
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Mar 22, 2020
Last Updated
Mar 22, 2020

Practice Location

Address
10200 HIGHWAY 89
ZIP Code
56671-2500
Phone
(888) 679-2501

Authorized Official

Name
ALISHA MARIE GEHLERT
Title
DIRECTOR
Phone
(218) 679-1461

Specialties & Taxonomy Codes

Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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