Organization
BELCOURT IHS HOSPITAL
Active
Other names
QUENTIN N BURDICK IHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN M KAKELA PHARMD (DEPUTY DIRECTOR OF PHARMACY)
(701) 477-8482
Entity
Organization
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316-7712
(701) 477-8426
(701) 477-8436
Mailing address
3105 SOLUTIONS CTR, CHICAGO, IL 60677-3001
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01063
—
ND
05
—
1063QN
—
ND
01
—
3503871
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/26/2007
Last updated
01/13/2025
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