OrganizationActive
Fond Du Lac Reservation Business Committee
NPI 1346501392 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Cloquet, MN
Provider details
- NPI number
- 1346501392
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Marilyn Grover, Associate Director(218) 879-1227
- License
- 260425 (MN)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 260425 (MN)
Suppliers
Suppliers
Practice location
927 Trettel Ln
Cloquet, MN 55720-1345
Phone: (218) 879-1227
Fax: (218) 878-2179
Approximate (ZIP-level) locationGet directions
Mailing address
927 Trettel Ln
Cloquet, MN 55720-1345
Other names (DBA / former)
- Doing business as
- Mnaw Pharmacy
Registry dates
- Enumerated
- 2012-06-06
- Last updated
- 2017-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.