RED CLIFF BAND OF :AKE SUPERIOR
36745 Aiken Rd
Bayfield, WI 54814
715-779-3157
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0002X | Suppliers - Pharmacy | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 332800000X | Suppliers - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2108718 | OTHER | |
32956200 | WI | MEDICAID |