Fond Du Lac Cair Pharmacy

LBN: Fond Du Lac Reservation Business Committee
Fond Du Lac Cair Pharmacy is an health care organization with primary practice located at 221 W 4Th St , Duluth MN 55806-2719. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Fond Du Lac Reservation Business Committee can be contacted via phone (218) 279-4142, or through Grover, Marilyn via phone (218) 879-1227.

Contact Information

Primary practice address
221 W 4Th St Duluth MN 55806-2719
Phone: (218) 279-4142
Fax: (218) 279-4077
Website:
Map and Directions
Authorized official contact:
Name: Grover, Marilyn
Phone: (218) 879-1227

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 260913 Minnesota

Profile Details

NPI number 1629256763
LBN Legal business name Fond Du Lac Reservation Business Committee
DBA Doing business as Fond Du Lac Cair Pharmacy
Authorized official Grover, Marilyn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Jul 21st, 2022 - about 2 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629256763 NPPES
Minnesota MEDICAID 66815100
Minnesota Other 2047381

Popular Providers