Cass Lake Indian Hospital Pharmacy

LBN: Cass Lake Indian Hospital Pharmacy
Cass Lake Indian Hospital Pharmacy is an health care organization with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Cass Lake Indian Hospital Pharmacy can be contacted via phone (218) 335-3313, or through Fretland, Kailee via phone (240) 478-2245.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3313
Fax: (218) 335-3352
Website:
Map and Directions
Authorized official contact:
Name: Fretland, Kailee PHARMD
Phone: (240) 478-2245

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 2603942 Minnesota
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1053447599
LBN Legal business name Cass Lake Indian Hospital Pharmacy
DBA Doing business as Cass Lake Indian Hospital Pharmacy
Authorized official Fretland, Kailee PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Oct 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053447599 NPPES
Other 2046504 PK
MEDICAID 966553600 PK

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