Organization · Type 2 NPI
Lac Vieux Desert Band of Lake Superior Chippewa Indians
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Detroit, MI
Practice location
4559 Wesson Street, Suite 100
Detroit, MI 48210
Mailing address
PO Box 9
Watersmeet, MI 49969-0009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
| Pharmacy | 333600000X | None listed |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.
Another provider at this address
About NPI 1376455691
Lac Vieux Desert Band of Lake Superior Chippewa Indians's National Provider Identifier is 1376455691, issued on Sep 21, 2026. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Detroit, MI. The record was last updated on Sep 21, 2026.