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Organization

SAULT TRIBE OF CHIPPEWA INDIANS

Active
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Organization

SAULT TRIBE OF CHIPPEWA INDIANS

Active
Other names
Sault Ste. Marie Tribal Health Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE L CULFA RN MSN (HEALTH DIVISION DIRECTOR)
(906) 632-5257
Entity
Organization

Contact information

Practice address
1140 N STATE ST, SUITE 2805, SAINT IGNACE, MI 49781-1048
(906) 643-4996
(906) 643-4997
Mailing address
1140 N STATE ST, SUITE 2805, SAINT IGNACE, MI 49781-1048
(906) 643-4996
(906) 643-4997

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352805
NCPDP
—
Enumeration date
09/27/2006
Last updated
06/17/2013
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