Three Affiliated Tribes Manadree Health Care Tele-pharmacy, NPI 1063678779
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mandaree, ND, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063678779
NPI Entity Type Organization
Provider Name Three Affiliated Tribes Manadree Health Care Tele-pharmacy
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 305 Main Street, Mandaree, ND, US
Provider Mailing Address Po Box 625, Mandaree, ND, US, 587570625
Is Sole Proprietor? No
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Organization Official

Official Name Donna Bieri
Official Position CHIEF TELEPHARMACIST
Phone 701-938-3459

Primary Taxonomy

Taxonomy Code

332800000X

Taxonomy Name Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Classification

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

Group

Suppliers

License No. 775
License State ND
Description An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.

Other Organization Name

TAT Manadree Telepharmacy
Doing Business As

Business Address

Three Affiliated Tribes Manadree Health Care Tele-pharmacy
305 Main Street

Mandaree, ND, US

Phone: 701-759-3151
Fax: 701-759-3181

Mailing Address

Three Affiliated Tribes Manadree Health Care Tele-pharmacy
Po Box 625
Mandaree, ND, US
ZIP 587570625
Phone: 701-759-3151
Fax: 701-759-3181

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2117699 PK 01
2404 ND MEDICAID 05

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