Organization
SPIRIT LAKE TRIBE
Active
Other names
Spirit Lake Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDE MONSON PHARMD (CHIEF PHARMACIST)
(701) 766-1612
Entity
Organization
Contact information
Practice address
3883 74TH AVE NE, FORT TOTTEN, ND 58335
(701) 766-1612
(701) 766-1625
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1612
(701) 766-1625
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PHAR713
ND
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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