Red Lake Outpatient Program is not a DME supplier for medicare equipments and products.
Red Lake Outpatient Program is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Redlake, Minnesota. This pharmacy is owned and operated by Red Lake Chemical Health Programs Outpatient. It is located at 15797 Main Ave, Hwy 1, Redlake and it's customer support contact number is 218-679-3392. The authorized person of Red Lake Outpatient Program is Salena L Branchaud who is Program Manger of the pharmacy and his contact number is 218-679-3392. Red Lake Outpatient Program 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 Outpatient Program 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 Outpatient Program
Type:
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Location:
15797 Main Ave, Hwy 1, Redlake, Minnesota, 56671-0114
Phone:
218-679-3392
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:
Salena L Branchaud
Position:
Program Manger
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:
1881802411
NPI Enumeration Date:
18 May, 2007
NPI Last Update On:
27 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 Outpatient Program are as mentioned below.
Specialization
License Number
State
Status
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Primary
Addiction (Substance Use Disorder)
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
627635100
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 114, Redlake, Minnesota
Zip:
56671-0114
Phone Number:
218-679-3392
Fax Number:
218-679-3976
Patients can reach Red Lake Outpatient Program at 15797 Main Ave, Hwy 1, Redlake, Minnesota or can call on customer care at 218-679-3392.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Redlake, Minnesota
Red Lake Band Of Chippewa Indians Speciality:Indian Health Service/Tribal/Urban Indian Health Pharmacy Address: 10200 Highway 89, Redlake, MN Phone: 888-679-2501