Red Lake Indian Hospital Pharmacy is an authorized DME supplier for medicare equipments and products.
Red Lake Indian Hospital Pharmacy is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Red Lake, Minnesota. This pharmacy is owned and operated by Phs Indian Hospital. It is located at 24670 Hospital Drive, Red Lake and it's customer support contact number is 218-679-0173. The authorized person of Red Lake Indian Hospital Pharmacy is Jan Thunder who is Business Office Manager of the pharmacy and his contact number is 218-679-0148. Active license number of Red Lake Indian Hospital Pharmacy is 2604653 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Minnesota. Red Lake Indian Hospital Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Red Lake Indian Hospital Pharmacy 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 Indian Hospital Pharmacy 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 Indian Hospital Pharmacy
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Location:
24670 Hospital Drive, Red Lake, Minnesota, 56671
Phone:
218-679-0173
Fax:
218-679-0189
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:
Jan Thunder
Position:
Business Office Manager
Contact Number:
218-679-0148
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:
1063549822
NPI Enumeration Date:
28 Feb, 2007
NPI Last Update On:
19 Jan, 2024
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 Indian Hospital Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
2604653
Minnesota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Clinic Pharmacy
Secondary
Specialty Pharmacy
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
2046533
Other
Pk
476753500
Medicaid
Minnesota
Medicare Enrollment:
Red Lake Indian Hospital Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
4789598731
O20120626000228
Phs Indian Hospital
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4100 W. 150th St, Lb: 95419 Cleveland, Ohio
Zip:
44135
Phone Number:
--
Fax Number:
--
Patients can reach Red Lake Indian Hospital Pharmacy at 24670 Hospital Drive, Red Lake, Minnesota or can call on customer care at 218-679-0173.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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