HO-CHUNK NATION
N6520 Lumberjack Guy Rd
Black River Falls, WI 54615
715-284-9851
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 332800000X | Suppliers - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | WI | 8340-42 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2115465 | OTHER | |
39255400 | WI | MEDICAID |