Lac Du Flambeau Band Of Lake Superior Chippewa Indians in Lac Du Flambeau - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Lac Du Flambeau Band Of Lake Superior Chippewa Indians - NPI 1447271408
Lac Du Flambeau Band Of Lake Superior Chippewa Indians is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Lac Du Flambeau, Wisconsin. Lac Du Flambeau Band Of Lake Superior Chippewa Indians practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 1447271408. The last update date is 2017-02-27.
Lac Du Flambeau Band Of Lake Superior Chippewa Indians's current location address is 129 Old Abe Rd, Lac Du Flambeau, Wisconsin. You can contact this provider via phone number 7155883371 and fax number 7155882039. The mailing address for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 129 Old Abe Rd, Lac Du Flambeau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
|---|---|
| Address | 129 Old Abe Rd, Lac Du Flambeau, Wisconsin |
| Phone Number | 7155883371 |
| Fax Number | 7155882039 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Samuelson Randy |
| Telephone Number | 7155883371 |
NPI Number Detail
| NPI Number | 1447271408 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2017-02-27 |
Provider Mailing Address Detail
| Address | 129 Old Abe Rd |
|---|---|
| City | Lac Du Flambeau |
| State | Wisconsin (WI) |
| Post Code | 54538 |
| Phone Number | 7155883371 |
| Fax Number | 7155882039 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | 8933-042 |
|
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 |
|---|---|---|---|
| 32956800 | WI | -- | |
| 5122382 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Lac Du Flambeau Band Of Lake Superior Chippewa Indians by the Centers for Medicare & Medicaid Services?
The Lac Du Flambeau Band Of Lake Superior Chippewa Indians has been issued the NPI (National Provider Identifier) 1447271408 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Lac Du Flambeau Band Of Lake Superior Chippewa Indians is geographically located?
The Lac Du Flambeau Band Of Lake Superior Chippewa Indians is physically situated at the following location: 129 Old Abe Rd, Lac Du Flambeau, WI, 54538.
What is Lac Du Flambeau Band Of Lake Superior Chippewa Indians's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the taxonomy code that categorizes this field of expertise is 332800000X.
When was the Lac Du Flambeau Band Of Lake Superior Chippewa Indians's 1447271408 issued?
The Lac Du Flambeau Band Of Lake Superior Chippewa Indians's 1447271408 was issued on 2006-07-22.
As of what date was the information regarding Lac Du Flambeau Band Of Lake Superior Chippewa Indians, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lac Du Flambeau Band Of Lake Superior Chippewa Indians, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-02-27.
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