Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grand Traverse Band of Ottawa and Chippewa Indians

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1669227203

Grand Traverse Band of Ottawa and Chippewa Indians is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Peshawbestown, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2300 N Stallman Rd
Peshawbestown, MI 49682-9158
Phone: (231) 534-7350
Fax: (231) 534-7351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) Taxonomy 332800000X
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1669227203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Hines — Pharmacy Manager · (231) 543-7350
NPI enumeratedApril 18, 2024
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address2300 N Stallman Rd, Peshawbestown, MI 49682-9158