NPI 1346501392
Fond Du Lac Reservation Business Committee
Practice location
- Address
- 927 Trettel Ln, Cloquet, MN 55720-1345
- Phone
- (218) 879-1227
- Fax
- (218) 878-2179
Authorised official
- Name
- Marilyn Grover
- Title
- Associate Director
- Phone
- (218) 879-1227
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Registry record
- NPI
- 1346501392
- Entity type
- Organization
- NPI issued
- 6 Jun 2012
- Record last updated
- 11 Sep 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.