Red Lake Chemical Health Programs
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
19195 North Ponemah Road, Ponemah
Minnesota, 56666
218-554-7425 218-554-7325
Red Lake Chemical Health Programs is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Ponemah, Minnesota. This organization is also known as sub part of Ponemah Outpatient. It is located at 19195 North Ponemah Road, Ponemah and it's customer support contact number is 218-554-7425. The authorized person of Red Lake Chemical Health Programs is Reyna Cruz Gonzalez-rivera who is Project Director of the pharmacy and his contact number is 218-679-3392.
Red Lake Chemical Health Programs is 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.
Pharmacy Details:
Red Lake Chemical Health Programs type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Red Lake Chemical Health Programs |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 19195 North Ponemah Road, Ponemah,
Minnesota, 56666 |
| Phone: | 218-554-7425 |
| Fax: | 218-554-7325 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Reyna Cruz Gonzalez-rivera |
| Position: | Project Director |
| Contact Number: | 218-679-3392 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1992213839 |
| Parent Organization: | Ponemah Outpatient |
| NPI Enumeration Date: | 12 Jan, 2018 |
| NPI Last Update On: | 20 Mar, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Red Lake Chemical Health Programs are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | | | Primary | |
| Substance Abuse Rehabilitation Facility | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1004 | Other | Minnesota | Tribal License |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | P.o. Box 114,
Red Lake, Minnesota |
| Zip: | 56671 |
| Phone Number: | -- |
Patients can reach Red Lake Chemical Health Programs at
19195 North Ponemah Road, Ponemah, Minnesota or can
call on customer care at 218-554-7425.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.