HO CHUNK NATION
S2845 White Eagle Rd
Baraboo, WI 53913
608-355-5177
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
N | 333600000X | Suppliers - Pharmacy | ||
Y | 332800000X | Suppliers - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | WI | 8332-42 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
33246800 | WI | MEDICAID | |
PK | 2109072 | OTHER |