Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lac Vieux Desert Band of Lake Superior Chippewa Indians

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1376455691

Lac Vieux Desert Band of Lake Superior Chippewa Indians is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Detroit, Michigan. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

4559 Wesson St Ste 100
Detroit, MI 48210
Phone: (313) 600-0189
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
Pharmacy Taxonomy 333600000X

Record details

NPI number1376455691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sadie Valliere — Administrator · (906) 358-4587
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 18, 2026
Mailing addressPo Box 9, Watersmeet, MI 49969-0009