Red Lake Detention Outpatient is not a DME supplier for medicare equipments and products.
Red Lake Detention Outpatient is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Red Lake, Minnesota. It is located at 25064 Highway 1 East, Red Lake and it's customer support contact number is 218-679-3995. The authorized person of Red Lake Detention Outpatient is Ms. Reyna Cruz Gonzalez-rivera who is Project Director of the pharmacy and her contact number is 218-679-3392. Red Lake Detention Outpatient 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 Detention Outpatient 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 Detention Outpatient
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Location:
25064 Highway 1 East, Red Lake, Minnesota, 56671
Phone:
218-679-3995
Fax:
218-679-3976
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:
Ms. 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:
1003332057
NPI Enumeration Date:
21 Aug, 2017
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 Detention Outpatient 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
1001
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:
218-679-3995
Fax Number:
218-679-3976
Patients can reach Red Lake Detention Outpatient at 25064 Highway 1 East, Red Lake, Minnesota or can call on customer care at 218-679-3995.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Red Lake, Minnesota
Red Lake Homeless Shelter Inc. Address: 15855 Main Ave, Red Lake, MN Phone: 218-679-3228 Red Lake Indian Hospital Pharmacy Speciality:Indian Health Service/Tribal/Urban Indian Health Pharmacy Address: 24670 Hospital Drive, Red Lake, MN Phone: 218-679-0173 Fax: 218-679-0189Children's Healing Center Speciality:Indian Health Service/Tribal/Urban Indian Health Pharmacy Address: 25060 Hwy 1 East, Red Lake, MN Phone: 218-679-1506 Fax: 218-679-3362Pregnant Women & Families Outpatient Address: 15797 Main Ave, Red Lake, MN Phone: 218-679-3331 Fax: 218-679-3302