OrganizationActive
Bois Forte Reservation Tribal Council
NPI 1649270901 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Nett Lake, MN
Provider details
- NPI number
- 1649270901
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Authorized official
- Lynette Tahtinen, Data & Finance Specialist
- License
- 251S00000X-COMMUNITY (MN)
Practice location
13071 Nett Lake Road, Suite B
Nett Lake, MN 55772
Phone: (218) 757-3295
Fax: (218) 757-0234
Mailing address
5219 St John Drive
Nett Lake, MN 55772-8232
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2018-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.