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Little Traverse Bay Bands Of Odawa Indians
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Petoskey, Michigan
NPI 1588108260

Little Traverse Bay Bands Of Odawa Indians is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Petoskey, MI. Little Traverse Bay Bands Of Odawa Indians practices in Petoskey, MI. The NPI Number for Little Traverse Bay Bands Of Odawa Indians is 1588108260 and holds a License No. (Michigan).

The current practice location address for Little Traverse Bay Bands Of Odawa Indians is 1250 Lears Rd, Petoskey, MI and can be reached out via phone at 231-242-1667 and via fax at 231-242-1617.

Location: 1250 Lears Rd, Petoskey, MI, 49770-9252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588108260
Provider Name
Little Traverse Bay Bands Of Odawa Indians
Credential
Provider Entity Type
Organization
Address
1250 Lears Rd, Petoskey, MI, 49770-9252
Phone Number
231-242-1667
Fax Number
231-242-1617
Provider Enumeration Date
12/14/2016
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1250 Lears Rd
City
Petoskey
State
Michigan
Zip
49770-9252
Phone Number
231-242-1667
Fax Number
231-242-1617
person
Provider Business Mailing Address Details
Address
1250 Lears Rd
City
Petoskey
State
Michigan
Zip
49770-9252
Phone Number
231-242-1667
Fax Number
231-242-1617
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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