Little Traverse Bay Bands of Odawa Indians
NPI #1588108260 in Petoskey, Michigan
Provider Information
- NPI Number
- 1588108260
- Entity Type
- Organization
- Organization Name
- Little Traverse Bay Bands of Odawa Indians
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Dec 14, 2016
- Last Updated
- May 23, 2024
Practice Location
Authorized Official
- Name
- PHIL HARMON
- Title
- DIRECT SERVICES ADMINISTRATOR
- Phone
- (231) 242-1421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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