Three Affiliated Tribes White Shield Healthcare Telepharmacy
Organization Active NPI Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Roseglen, ND
NPI 1124284914 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1124284914
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
- License
- 777 (ND)
- Legal business name
- THREE AFFILIATED TRIBES WHITE SHIELD HEALTHCARE TELEPHARMACY
- Practice address
- 2 Main Street B
Roseglen, ND 58775 - Phone
- (701) 743-4163
- Fax
- (701) 743-4164
- NPI assigned
- Aug 1, 2008
- Organization subpart
- No
Authorized official
- Name
- Donna Bieri
- Title
- Chief Telepharmacist
- Phone
- (701) 938-3459
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | 777 | ND | Yes |
Addresses
Primary practice location
2 Main Street B
Roseglen, ND 58775
Mailing address
2 Main Street B
Roseglen, ND 58775
Phone (701) 743-4163
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117660 | Other | PK |
Other names
- TAT White Tele Pharmacy
Other providers in Roseglen, ND
All providers in Roseglen, ND · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.