Spirit Lake Tribe
NPI #1265884308 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1265884308
- Entity Type
- Organization
- Organization Name
- Spirit Lake Tribe
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Jul 12, 2016
- Last Updated
- Jul 12, 2016
Practice Location
- Address
- 3883 74TH AVE NE
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335
- Phone
- (701) 766-1612
Authorized Official
- Name
- LYNDE MONSON, PHARMD
- Title
- CHIEF PHARMACIST
- Phone
- (701) 766-1612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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