Little Traverse Bay Bands of Odawa Indians
Little Traverse Bay Bands of Odawa Indians is a Community/Retail Pharmacy in Petoskey, Michigan. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2390 Mitchell Park Dr Ste DPetoskey, MI 49770-8965
Phone: (231) 242-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1689387821 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Little Traverse Bay Bands of Odawa Indians |
| Authorized official | Frank Animikwam — Medical Director · (231) 242-1700 |
| Other names | Ltbb Crooked Tree Pharmacy |
| NPI enumerated | January 3, 2023 |
| Last updated in NPPES | May 23, 2024 |
| Certification date | May 23, 2024 |
| Mailing address | 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 |