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Organization
HANNAHVILLE INDIAN COMMUNITY
Active
Organization
HANNAHVILLE INDIAN COMMUNITY
Active
Other names
HANNAHVILLE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE MESHIGAUD (DIRECTOR OF HEALTH AND HUMAN SERVIC)
(906) 723-2500
Entity
Organization
Contact information
Practice address
W365 US 2 & 41, SUITE 600, WILSON, MI 49896
(906) 723-2560
(906) 723-2566
Mailing address
W365 US 2&41, SUITE 600, WILSON, MI 49896
(906) 723-2560
(906) 723-2566
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
5301006526
MI
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043505
PK
—
05
—
3318839
—
MI
Enumeration date
08/18/2006
Last updated
04/06/2017
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