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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
332800000X | 87 | All Other Suppliers | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1972725240 |
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| LBN Legal business name | HO CHUNK NATION | ||||||||||||
| Authorized official | WALLY APLAND - (HEALTH DEPT DIRECTOR OF FINANCE) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/03/2007 | ||||||||||||
| Last updated | 04/06/2023 - About 3 years ago | ||||||||||||
| Identifiers |
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