White Earth Indian Health Center Pharmacy

NPI #1922024876 in Ogema, Minnesota

Provider Information

NPI Number
1922024876
Entity Type
Organization
Organization Name
White Earth Indian Health Center Pharmacy
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE EARTH INDIAN HEALTH CENTER
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Jul 14, 2006
Last Updated
Jun 21, 2022

Practice Location

Address
40520 COUNTY HIGHWAY 34
City
Ogema
ZIP Code
56569-9612
Phone
(218) 983-6375

Authorized Official

Name
LEEANN MARIE THORSON
Title
DEPUTY CEO
Phone
(218) 983-6303

Specialties & Taxonomy Codes

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

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