Lac Vieux Desert Band of Lake Superior Chippewa Indians

NPI #1760536007 in Watersmeet, Michigan

Provider Information

NPI Number
1760536007
Entity Type
Organization
Organization Name
Lac Vieux Desert Band of Lake Superior Chippewa Indians
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Jan 23, 2007
Last Updated
May 18, 2021

Practice Location

Address
N5241 US HIGHWAY 45
ZIP Code
49969-5115
Phone
(906) 358-4905

Authorized Official

Name
SADIE VALLIERE
Title
HEALTH DIRECTOR
Phone
(906) 358-4587

Specialties & Taxonomy Codes

Specialty
Pharmacy
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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