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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