Menominee Indian Tribe of Wisconsin
Menominee Indian Tribe of Wisconsin is a Clinic Pharmacy in Keshena, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
W3275 Wolf River RdKeshena, WI 54135
Phone: (715) 799-3361
Fax: (715) 799-3099
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic Pharmacy (primary) | Taxonomy 3336C0002X · Licence 7848-042 (WI) |
|---|
Record details
| NPI number | 1972545010 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Waukau — Health Administrator · (715) 799-3361 |
| Other names | Menominee Tribal Clinic Pharmacy |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | Po Box 970, Keshena, WI 54135-0970 |