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Organization

WHITE EARTH INDIAN HEALTH CENTER PHARMACY

Active
Parent organization
WHITE EARTH INDIAN HEALTH CENTER
Other names
WHITE EARTH INDIAN HEALTH CENTER PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
WHITE EARTH INDIAN HEALTH CENTER
Authorized official
LEEANN MARIE THORSON (DEPUTY CEO)
(218) 983-6303
Entity
Organization

Contact information

Practice address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-6375
(218) 983-6384
Mailing address
40520 COUNTY HIGHWAY 34, OGEMA, MN 56569-9612
(218) 983-4300
(218) 983-6384

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary

Other

Enumeration date
07/14/2006
Last updated
06/21/2022
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