NPI 1467997239
Little River Band of Ottawa Indians
Practice location
- Address
- 2608 Government Center Dr, Manistee, MI 49660-8302
- Phone
- (231) 398-6853
- Fax
- (231) 723-1523
Authorised official
- Name
- Keith Jacque
- Title
- Chief Pharmacist
- Phone
- (231) 398-6853
Registered specialties (3)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Community/Retail Pharmacy
Registry record
- NPI
- 1467997239
- Entity type
- Organization
- NPI issued
- 3 Jan 2017
- Record last updated
- 4 Dec 2022
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.