Mille Lacs Band of Ojibwe Indians

NPI #1982729364 in Onamia, Minnesota

Provider Information

NPI Number: 1982729364
Entity Type: Organization
Organization Name: Mille Lacs Band of Ojibwe Indians
Primary Specialty: Pharmacy
Enumeration Date: Mar 21, 2007
Last Updated: Mar 7, 2023

Practice Location

Address: 43500 MIGIZI DRIVE
City: Onamia
State: Minnesota
ZIP Code: 56359
Phone: (320) 532-4770

Authorized Official

Name: SAMUEL ARCHIE MOOSE
Title: COMMISSIONER OF HEALTH
Phone: (320) 532-4750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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