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Organization

THREE AFFILIATED TRIBES MANADREE HEALTH CARE TELE-PHARMACY

Active
Other names
TAT Manadree Telepharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA BIERI (CHIEF TELEPHARMACIST)
(701) 938-3459
Entity
Organization

Contact information

Practice address
305 MAIN STREET, MANDAREE, ND 58757
(701) 759-3151
(701) 759-3181
Mailing address
PO BOX 625, MANDAREE, ND 58757-0625
(701) 759-3151
(701) 759-3181

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
775
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2117699
PK
05
2404
ND
Enumeration date
08/01/2008
Last updated
01/09/2015
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