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Organization
HO-CHUNK NATION
Active
Organization
HO-CHUNK NATION
Active
Other names
HO-CHUNK HEALTH CARE CENTER PHARMACY, Ho-Chunk Health Care Center Tribal Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY L APLAND (HEALTH DEPT DIRECTOR OF FINANCE)
(715) 284-9851
Entity
Organization
Contact information
Practice address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(715) 284-2293
Mailing address
N6520 LUMBERJACK GUY RD, BLACK RIVER FALLS, WI 54615-5405
(715) 284-9851
(844) 474-0919
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
8340-42
WI
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115465
PK
—
05
—
39255400
—
WI
Enumeration date
05/08/2007
Last updated
04/06/2023
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