OrganizationActive
Red Lake Chemical Health Programs
NPI 1992213839 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Ponemah, MN
Provider details
- NPI number
- 1992213839
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Parent organization
- Ponemah Outpatient
- Authorized official
- Reyna Gonzalez-Rivera, Project Director
Practice location
19195 North Ponemah Road
Ponemah, MN 56666
Phone: (218) 554-7425
Fax: (218) 554-7325
Mailing address
P.o. Box 114
Red Lake, MN 56671
Registry dates
- Enumerated
- 2018-01-12
- Last updated
- 2019-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.