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Organization
SPIRIT LAKE TRIBE
Active
Organization
SPIRIT LAKE TRIBE
Active
Other names
Spirit Lake Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDE MONSON PHARMD (CHIEF PHARMACIST)
(701) 766-1612
Entity
Organization
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1612
(701) 766-1625
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1612
(701) 766-1625
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAR713
ND
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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