Organization
THREE AFFILIATED TRIBES WHITE SHIELD HEALTHCARE TELEPHARMACY
Active
Other names
TAT White Tele Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA BIERI (CHIEF TELEPHARMACIST)
(701) 938-3459
Entity
Organization
Contact information
Practice address
2 MAIN STREET B, ROSEGLEN, ND 58775
(701) 743-4163
(701) 743-4164
Mailing address
2 MAIN STREET B, ROSEGLEN, ND 58775
(701) 743-4163
(701) 743-4164
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
777
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117660
PK
—
Enumeration date
08/01/2008
Last updated
03/18/2015
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