Organization
ONEIDA NATION
Active
Other names
Oneida Nation - Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA DANFORTH RN, BSN (OPERATIONS DIRECTOR)
(920) 869-2711
Entity
Organization
Contact information
Practice address
525 AIRPORT DR, ONEIDA, WI 54155-9035
(920) 869-2711
Mailing address
PO BOX 365, ONEIDA, WI 54155-0365
(920) 869-2711
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
8243
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32956500
—
WI
Enumeration date
10/11/2007
Last updated
12/03/2020
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