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General NPI Number Information
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NPI Number | 1912605296
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Entity Type | Organization
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Legal Business Name | CONFEDERATED SALISH & KOOTENAI TRIBES OF THE FLATHEAD RESERVATION
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 430 MARY MCLEOD LANE
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City | RONAN
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State | MT
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Zip | 59864
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Country | US
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Telephone | 406-745-3525
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 880
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City | SAINT IGNATIUS
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State | MT
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Zip | 59865-0880
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Country | US
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Telephone | 406-745-3525
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Fax |
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | JESSI CAHOON
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Credential |
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Telephone | 406-745-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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