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Organization
THREE AFFILIATED TRIBES WHITE SHIELD HEALTHCARE TELEPHARMACY
Active
Organization
THREE AFFILIATED TRIBES WHITE SHIELD HEALTHCARE TELEPHARMACY
Active
Other names
TAT White Tele Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BIERI (CHIEF TELEPHARMACIST)
(701) 938-3459
Entity
Organization
Contact information
Practice address
2 MAIN STREET B, ROSEGLEN, ND 58775
(701) 743-4163
(701) 743-4164
Mailing address
2 MAIN STREET B, ROSEGLEN, ND 58775
(701) 743-4163
(701) 743-4164
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
777
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117660
PK
—
Enumeration date
08/01/2008
Last updated
03/18/2015
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