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Organization

SAULT TRIBE OF CHIPPEWA INDIANS

Active
Other names
Sault Ste. Marie Tribal Health Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
BONNIE L CULFA RN MSN (HEALTH DIVISION DIRECTOR)
(906) 632-5257
Entity
Organization

Contact information

Practice address
2864 ASHMUN STREET, SAULT SAINTE MARIE, MI 49783
(906) 632-5226
(906) 632-5296
Mailing address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 632-5226
(906) 632-5296

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
01
2344113
NCPDP
Enumeration date
10/27/2006
Last updated
06/13/2016
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