# HO-CHUNK NATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ho-Chunk Health Care Retail Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386802718
- **Authorized official:** WALLY L APLAND (HEALTH DEPT DIRECTOR OF FINANCE)
- **Authorized official phone:** (715) 284-9851

## Contact information

- **Practice address:** N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
- **Practice address phone:** (715) 284-9851
- **Practice address fax:** (715) 284-2293
- **Mailing address:** N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
- **Mailing address phone:** (715) 284-9851
- **Mailing address fax:** (715) 284-2293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 8340-42 | WI | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 04/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100049808 | — | WI |
| 01 | — | 2111111 | PK | — |