Organization
FLANDREAU SANTEE SIOUX TRIBE
Active
Parent organization
FLANDREAU SANTEE SIOUX TRIBE
Other names
Flandreau Santee Sioux Tribal Health Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLANDREAU SANTEE SIOUX TRIBE
Authorized official
DAVID W WALFORD (BILLER/CREDENTIALING)
(605) 573-4166
Entity
Organization
Contact information
Practice address
403 W BROAD AVE, FLANDREAU, SD 57028-1630
(605) 997-2642
(605) 997-2586
Mailing address
PO BOX 329, FLANDREAU, SD 57028-0329
(605) 997-2642
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2006
Last updated
07/21/2020
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