Fond Du Lac Reservation Business Committee
Fond Du Lac Reservation Business Committee is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Cloquet, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
927 Trettel LnCloquet, MN 55720-1345
Phone: (218) 879-1227
Fax: (218) 878-2179
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X · Licence 260425 (MN) |
|---|---|
| Clinic Pharmacy | Taxonomy 3336C0002X · Licence 260425 (MN) |
Record details
| NPI number | 1346501392 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marilyn Grover — Associate Director · (218) 879-1227 |
| Other names | Mnaw Pharmacy |
| NPI enumerated | June 6, 2012 |
| Last updated in NPPES | September 11, 2017 |
| Mailing address | 927 Trettel Ln, Cloquet, MN 55720-1345 |