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Lac Vieux Desert Band Of Lake Superior Chippewa Indians
Pharmacy in Watersmeet, Michigan
NPI 1760536007

Lac Vieux Desert Band Of Lake Superior Chippewa Indians is a Pharmacy based in Watersmeet, MI. Lac Vieux Desert Band Of Lake Superior Chippewa Indians practices in Watersmeet, MI. The NPI Number for Lac Vieux Desert Band Of Lake Superior Chippewa Indians is 1760536007 and holds a License No. (Michigan).

The current practice location address for Lac Vieux Desert Band Of Lake Superior Chippewa Indians is N5241 Us Highway 45, Watersmeet, MI and can be reached out via phone at 906-358-4905 and via fax at 906-358-4929.

Location: N5241 Us Highway 45, Watersmeet, MI, 49969-5115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760536007
Provider Name
Lac Vieux Desert Band Of Lake Superior Chippewa Indians
Credential
Provider Entity Type
Organization
Address
N5241 Us Highway 45, Watersmeet, MI, 49969-5115
Phone Number
906-358-4905
Fax Number
906-358-4929
Provider Enumeration Date
01/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33205200 05 WI
2354455 05 MI
institution
Provider Business Practice Location Address Details
Address
N5241 Us Highway 45
City
Watersmeet
State
Michigan
Zip
49969-5115
Phone Number
906-358-4905
Fax Number
906-358-4929
person
Provider Business Mailing Address Details
Address
N5241 Us Highway 45
City
Watersmeet
State
Michigan
Zip
49969-5115
Phone Number
906-358-4905
Fax Number
906-358-4929
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.
5301006253 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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