Little Traverse Bay Bands of Odawa Indians

NPI #1689387821 in Petoskey, Michigan

Provider Information

NPI Number
1689387821
Entity Type
Organization
Organization Name
Little Traverse Bay Bands of Odawa Indians
Subpart
Yes (part of a larger organization)
Parent Organization
LITTLE TRAVERSE BAY BANDS OF ODAWA INDIANS
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jan 3, 2023
Last Updated
May 23, 2024

Practice Location

Address
2390 MITCHELL PARK DR STE D
ZIP Code
49770-8965
Phone
(231) 242-1760

Authorized Official

Name
DR. FRANK ANIMIKWAM, MD
Title
MEDICAL DIRECTOR
Phone
(231) 242-1700

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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