Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians
NPI #1689232241 in Shelbyville, Michigan
Provider Information
- NPI Number
- 1689232241
- Entity Type
- Organization
- Organization Name
- Match-E-Be-Nash-She-Wish Band of Pottawatomi Indians
- Primary Specialty
- Pharmacy
- Enumeration Date
- May 30, 2019
- Last Updated
- May 30, 2019
Practice Location
- Address
- 2880 MISSION DR
- City
- Shelbyville
- State
- Michigan
- ZIP Code
- 49344-9580
- Phone
- (269) 397-1760
Authorized Official
- Name
- KELLY WESAW
- Title
- HEALTH AND HUMAN SERVICES DIRECTOR
- Phone
- (269) 397-1760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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