NPI 1114217833
Keweenaw Bay Indian Community D.A.Lapointe Health Facility Pharmacy
Practice location
- Address
- 102 Superior Ave, Baraga, MI 49908-9673
- Phone
- (906) 353-4555
- Fax
- (906) 353-8066
Authorised official
- Name
- Kathy Mayo
- Title
- Interim Health Administrator
- Phone
- (906) 353-8700
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Federally Qualified Health Center (FQHC)
Registry record
- NPI
- 1114217833
- Entity type
- Organization
- NPI issued
- 14 Apr 2011
- Record last updated
- 20 Dec 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.