NPI 1669227203
Grand Traverse Band of Ottawa and Chippewa Indians
Practice location
- Address
- 2300 N Stallman Rd, Peshawbestown, MI 49682-9158
- Phone
- (231) 534-7350
- Fax
- (231) 534-7351
Authorised official
- Name
- Kimberly Jane Hines
- Title
- Pharmacy Manager
- Phone
- (231) 543-7350
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Registry record
- NPI
- 1669227203
- Entity type
- Organization
- NPI issued
- 18 Apr 2024
- Record last updated
- 26 Feb 2026
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.