Organization
ST. CROIX CHIPPEWA INDIANS OF WI
Active
Parent organization
ST. CROIX CHIPPEWA INDIANS OF WI
Other names
Siren Pharmacy, St Croix Tribal Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CROIX CHIPPEWA INDIANS OF WI
Authorized official
AMBER HEINZ PHARM D (HEALTH DIRECTOR)
(715) 349-8554
Entity
Organization
Contact information
Practice address
24106 STATE ROAD 35 70, SIREN, WI 54872-8006
(715) 349-2221
Mailing address
24106 STATE ROAD 35 70, SIREN, WI 54872-8006
(715) 349-2221
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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