Whalio Doctors

NPI 1871713321

Bois Forte Reservation Tribal Council

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Nett Lake, MN

Practice location

Address
13071 Nett Lake Road Suite B, Nett Lake, MN 55772
Phone
(218) 757-3295
Fax
(218) 757-0234
Mailing address
5219 St John Drive, Nett Lake, MN 55772-8232

Authorised official

Name
Lynette Tahtinen
Title
Data & Finance Specialist
Phone
(218) 757-3295

Registered specialties (2)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X
Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261Q00000X

Registry record

NPI
1871713321
Entity type
Organization
NPI issued
26 Apr 2007
Record last updated
15 May 2018

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.