OrganizationActive
Little Traverse Bay Bands of Odawa Indians
NPI 1588108260 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Petoskey, MI
Provider details
- NPI number
- 1588108260
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Phil Harmon, Direct Services Administrator(231) 242-1421
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 Lears Rd
Petoskey, MI 49770-9252
Phone: (231) 242-1667
Fax: (231) 242-1617
Street-level locationGet directions
Mailing address
1250 Lears Rd
Petoskey, MI 49770-9252
Other names (DBA / former)
- Doing business as
- Ltbb of Odawa Pharmacy
- Doing business as
- Ltbb of Odawa Pharmacy
Registry dates
- Enumerated
- 2016-12-14
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.