NPI 1588108260
Little Traverse Bay Bands of Odawa Indians
Practice location
- Address
- 1250 Lears Rd, Petoskey, MI 49770-9252
- Phone
- (231) 242-1667
- Fax
- (231) 242-1617
Authorised official
- Name
- Phil Harmon
- Title
- Direct Services Administrator
- Phone
- (231) 242-1421
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1588108260
- Entity type
- Organization
- NPI issued
- 14 Dec 2016
- Record last updated
- 23 May 2024
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.