Organization · Type 2 NPI

Lac Vieux Desert Band of Lake Superior Chippewa Indians

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

NPI number 1760536007 Active

Practice location

N5241 US Highway 45
Watersmeet, MI 49969-5115

Call (906) 358-4905 Map

Fax (906) 358-4929

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000XNone listed
Pharmacy 333600000X5301006253 (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.

11 other providers at this address

About NPI 1760536007

Lac Vieux Desert Band of Lake Superior Chippewa Indians's National Provider Identifier is 1760536007, issued on Jan 23, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Watersmeet, MI. The record was last updated on May 18, 2021.