Phs Indian Hospital
Phs Indian Hospital is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
24670 Hospital DrRed Lake, MN 56671
Phone: (218) 679-0173
Fax: (218) 679-0189
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
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X · Licence 2604653 (MN) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Clinic Pharmacy | Taxonomy 3336C0002X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1063549822 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jan Thunder — Business Office Manager · (218) 679-0148 |
| Other names | Red Lake Indian Hospital Pharmacy; Red Lake Indian Hospital Pharmacy |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | January 19, 2024 |
| Certification date | January 17, 2024 |
| Mailing address | 4100 W. 150th St, Lb: 95419, Cleveland, OH 44135 |
Other providers in Red Lake
-
Children's Healing Center
25060 Hwy 1 E, Red Lake, MN 56671 · (218) 679-1506