Organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC.
Active
Parent organization
GERALD L. IGNACE INDIAN HEALTH CENTER, INC
Other names
Ignace Indian Health Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GERALD L. IGNACE INDIAN HEALTH CENTER, INC
Authorized official
DR. GEORGETTE K LUCEY-DURRANI RPH, PHARM D (PHARMACY DIRECTOR)
(414) 316-5000
Entity
Organization
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(920) 809-6488
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(920) 809-6488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
9467
WI
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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