Organization
LITTLE RIVER BAND OF OTTAWA INDIANS
Active
Other names
Little River Band of Ottawa Indians Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH JACQUE (CHIEF PHARMACIST)
(231) 398-6853
Entity
Organization
Contact information
Practice address
2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660-8302
(231) 398-6853
(231) 723-1523
Mailing address
2608 GOVERNMENT CENTER DR, MANISTEE, MI 49660-8302
(231) 398-6853
(231) 723-1523
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
5301011115
MI
3336C0002X
Clinic Pharmacy
5301011115
MI
3336C0003X
Community/Retail Pharmacy
5301011115
MI
Other
Enumeration date
01/03/2017
Last updated
12/04/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us