Organization
BOIS FORTE RESERVATION TRIBAL GOVERNMENT
Active
Other names
New Moon
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HUGHES (MANAGER)
(218) 757-3295
Entity
Organization
Contact information
Practice address
1224 WHITE PINE CIR, TOWER, MN 55790
(218) 757-3131
Mailing address
5219 SAINT JOHN DR, ORR, MN 55771-8232
(218) 757-3295
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
01/04/2017
Last updated
05/15/2018
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