Red Lake Kai Shin Sud Outpatient

NPI #1326805581 in Bemidji, Minnesota

Provider Information

NPI Number
1326805581
Entity Type
Organization
Organization Name
Red Lake Kai Shin Sud Outpatient
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Mar 4, 2024
Last Updated
Mar 4, 2024

Practice Location

Address
705 5TH ST NW STE D
ZIP Code
56601-2933
Phone
(651) 447-3755

Authorized Official

Name
CHARLENE ANDERSEN
Title
REVENUE MANAGER
Phone
(218) 679-1320

Specialties & Taxonomy Codes

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

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