Lac Vieux Desert Band of Lake Superior Chippewa Indians
Lac Vieux Desert Band of Lake Superior Chippewa Indians is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Watersmeet, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
N5241 US Highway 45Watersmeet, MI 49969-5115
Phone: (906) 358-4905
Fax: (906) 358-4929
Show map & directions
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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 · Licence 5301006253 (MI) |
Record details
| NPI number | 1760536007 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sadie Valliere — Health Director · (906) 358-4587 |
| Other names | Lac Vieux Desert Health Center And Pharmacy |
| NPI enumerated | January 23, 2007 |
| Last updated in NPPES | May 18, 2021 |
| Certification date | May 18, 2021 |
| Mailing address | N5241 Us Highway 45, Watersmeet, MI 49969-5115 |