Organization
MESKWAKI PHARMACY
Active
Other names
Sac & Fox Tribe of the Mississippi in Iowa pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BOLTE (CHIEF PHARMACIST)
(641) 484-4667
Entity
Organization
Contact information
Practice address
1646 305TH STREET, TAMA, IA 52339-9634
(641) 484-4667
(641) 484-4875
Mailing address
1646 305TH STREET, TAMA, IA 52339-9634
(641) 484-4667
(641) 484-4875
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
09/07/2011
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