Flandreau Santee Sioux Tribe
NPI #1558387076 in Flandreau, South Dakota
Provider Information
- NPI Number
- 1558387076
- Entity Type
- Organization
- Organization Name
- Flandreau Santee Sioux Tribe
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FLANDREAU SANTEE SIOUX TRIBE
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Jul 21, 2020
Practice Location
- Address
- 403 W BROAD AVE
- City
- Flandreau
- State
- South Dakota
- ZIP Code
- 57028-1630
- Phone
- (605) 997-2642
Authorized Official
- Name
- DAVID W WALFORD
- Title
- BILLER/CREDENTIALING
- Phone
- (605) 573-4166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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