Organization · Type 2 NPI

Little River Band of Ottawa Indians

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Manistee, MI

NPI number 1467997239 Active

Practice location

2608 Government Center Dr
Manistee, MI 49660-8302

Fax (231) 723-1523

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	5301011115 (MI)
Clinic Pharmacy	3336C0002X	5301011115 (MI)
Community/Retail Pharmacy	3336C0003X	5301011115 (MI)

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.

9 other providers at this address

About NPI 1467997239

Little River Band of Ottawa Indians's National Provider Identifier is 1467997239, issued on Jan 3, 2017. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Manistee, MI. The record was last updated on Dec 4, 2022.