Organization · Type 2 NPI

Grand Traverse Band of Ottawa and Chippewa Indians

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

NPI number 1669227203 Active

Practice location

2300 N Stallman Rd
Peshawbestown, MI 49682-9158

Fax (231) 534-7351

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XNone listed
Clinic Pharmacy 3336C0002XNone 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.

8 other providers at this address

About NPI 1669227203

Grand Traverse Band of Ottawa and Chippewa Indians's National Provider Identifier is 1669227203, issued on Apr 18, 2024. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Peshawbestown, MI. The record was last updated on Feb 26, 2026.