Mashkiki Waakaaigan Pharmacy
LBN: Fond Du Lac Reservation Business Committee
Mashkiki Waakaaigan Pharmacy is an health care organization with primary practice located at 2020 Bloomington Ave , Minneapolis MN 55404-3073. 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 (612) 871-1989, or through Grover, Marilyn via phone (218) 878-2101.
Contact Information
Primary practice address
2020 Bloomington Ave
Minneapolis MN 55404-3073
Phone: (612) 871-1989
Fax: (612) 222-3463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 263031 | Minnesota |
Profile Details
| NPI number | 1700064714 |
|---|---|
| LBN Legal business name | Fond Du Lac Reservation Business Committee |
| DBA Doing business as | Mashkiki Waakaaigan Pharmacy |
| Authorized official | Grover, Marilyn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Oct 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700064714 | NPPES |
| Minnesota | Other | 2428349 | NCPDP |
| Minnesota | MEDICAID | 666815100 | NCPDP |
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