Little River Band of Ottawa Indians
Little River Band of Ottawa Indians is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Manistee, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
2608 Government Center DrManistee, MI 49660-8302
Phone: (231) 398-6853
Fax: (231) 723-1523
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 · Licence 5301011115 (MI) |
|---|---|
| Clinic Pharmacy | Taxonomy 3336C0002X · Licence 5301011115 (MI) |
| Community/Retail Pharmacy | Taxonomy 3336C0003X · Licence 5301011115 (MI) |
Record details
| NPI number | 1467997239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keith Jacque — Chief Pharmacist · (231) 398-6853 |
| Other names | Little River Band Of Ottawa Indians Pharmacy |
| NPI enumerated | January 3, 2017 |
| Last updated in NPPES | December 4, 2022 |
| Certification date | December 4, 2022 |
| Mailing address | 2608 Government Center Dr, Manistee, MI 49660-8302 |