OrganizationActive
Fond Du Lac Reservation Business Committee
NPI 1629256763 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Duluth, MN
Provider details
- NPI number
- 1629256763
- 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
- 260913 (MN)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense 260913 (MN)
Suppliers
Practice location
221 W 4th St
Duluth, MN 55806-2719
Phone: (218) 279-4142
Fax: (218) 279-4077
Approximate (ZIP-level) locationGet directions
Mailing address
Fond Du Lac Human Serv Division
Cloquet, MN 55720
Other names (DBA / former)
- Doing business as
- Fond Du Lac Cair Pharmacy
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.