St. Croix Chippewa Indians of Wi

NPI #1821810565 in Siren, Wisconsin

Provider Information

NPI Number: 1821810565
Entity Type: Organization
Organization Name: St. Croix Chippewa Indians of Wi
Subpart: Yes (part of a larger organization)
Parent Organization: ST. CROIX CHIPPEWA INDIANS OF WI
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Oct 24, 2024
Last Updated: Oct 24, 2024

Practice Location

Address: 24106 STATE ROAD 35 70
City: Siren
State: Wisconsin
ZIP Code: 54872-8006
Phone: (715) 349-2221

Authorized Official

Name: AMBER HEINZ, PHARM D
Title: HEALTH DIRECTOR
Phone: (715) 349-8554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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