Fond Du Lac Reservation Business Committee in Minneapolis - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Fond Du Lac Reservation Business Committee - NPI 1700064714
Fond Du Lac Reservation Business Committee is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Minneapolis, Minnesota. Fond Du Lac Reservation Business Committee practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Fond Du Lac Reservation Business Committee is 1700064714. The last update date is 2017-10-12.
Fond Du Lac Reservation Business Committee's current location address is 2020 Bloomington Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128711989 and fax number 6122223463. The mailing address for Fond Du Lac Reservation Business Committee is 2020 Bloomington Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fond Du Lac Reservation Business Committee |
|---|---|
| Address | 2020 Bloomington Ave, Minneapolis, Minnesota |
| Phone Number | 6128711989 |
| Fax Number | 6122223463 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Grover Marilyn |
| Telephone Number | 2188782101 |
NPI Number Detail
| NPI Number | 1700064714 |
|---|---|
| Provider Enumeration Date | 2008-02-01 |
| Last Updated Date | 2017-10-12 |
Provider Mailing Address Detail
| Address | 2020 Bloomington Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554043073 |
| Phone Number | 6128711989 |
| Fax Number | 6122223463 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 263031 |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2428349 | MN | NCPDP | |
| 666815100 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Fond Du Lac Reservation Business Committee by the Centers for Medicare & Medicaid Services (CMS)?
The Fond Du Lac Reservation Business Committee has been assigned the NPI (National Provider Identifier) 1700064714. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Fond Du Lac Reservation Business Committee is located?
The Fond Du Lac Reservation Business Committee is situated at the following address: 2020 Bloomington Ave, Minneapolis, MN, 554043073.
What is the area of specialization for Fond Du Lac Reservation Business Committee, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Fond Du Lac Reservation Business Committee is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 332800000X.
On what date was the 1700064714 assigned to Fond Du Lac Reservation Business Committee?
The Fond Du Lac Reservation Business Committee was issued its 1700064714 on 2008-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Fond Du Lac Reservation Business Committee most recently updated or revised?
The information pertaining to Fond Du Lac Reservation Business Committee, including its address, specialty, and other relevant details, was last updated or revised on 2017-10-12.
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