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Organization
BOIS FORTE RESERVATION TRIBAL GOVERNMENT
Active
Organization
BOIS FORTE RESERVATION TRIBAL GOVERNMENT
Active
Other names
New Moon
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HUGHES (MANAGER)
(218) 757-3295
Entity
Organization
Contact information
Practice address
1224 WHITE PINE CIR, TOWER, MN 55790
(218) 757-3131
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3295
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
05/15/2018
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