Organization
BAY MILLS INDIAN COMMUNITY
Active
Other names
BAY MILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BROOKS (CFO)
(906) 248-3241
Entity
Organization
Contact information
Practice address
12124 W LAKESHORE DR, BRIMLEY, MI 49715-9319
(906) 248-3241
(906) 248-5765
Mailing address
12124 W LAKESHORE DR, PO BOX 138, BRIMLEY, MI 49715-9319
(906) 248-3241
(906) 248-5765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5301007314
MI
Other
Enumeration date
04/26/2007
Last updated
11/08/2007
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