OrganizationActive
Grand Traverse Band of Ottawa and Chippewa Indians
NPI 1669227203 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Peshawbestown, MI
Provider details
- NPI number
- 1669227203
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kimberly Hines, Pharmacy Manager(231) 543-7350
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Practice location
2300 N Stallman Rd
Peshawbestown, MI 49682-9158
Phone: (231) 534-7350
Fax: (231) 534-7351
Approximate (ZIP-level) locationGet directions
Mailing address
2300 N Stallman Rd
Peshawbestown, MI 49682-9158
Registry dates
- Enumerated
- 2024-04-18
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.