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SAGINAW CHIPPEWA INDIAN TRIBE NPI 1205939469


NPI Information

NPI: 1205939469
Provider Name: SAGINAW CHIPPEWA INDIAN TRIBE

Doing Business As: NIMKEE MEMORIAL WELLNESS CENTER PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2591 S LEATON RD
MT PLEASANT, MI
ZIP 48858
Phone: (989) 775-4924
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SAGINAW CHIPPEWA INDIAN TRIBE is a pharmacy in Mt Pleasant, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SAGINAW CHIPPEWA INDIAN TRIBE NPI is 1205939469. The provider is registered as an organization entity type.
The provider Is Doing Business As Nimkee Memorial Wellness Center Pharmacy.

The provider's business location address is:

2591 S LEATON RD
MT PLEASANT, MI
ZIP 48858
Phone: (989) 775-4924
Fax: (989) 775-4990

The provider's authorized official is Frank J. Cloutier .
The authorized official title is Tribal Chief and has the following contact phone number (989) 775-4200.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 4/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyBN2651861MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12754368MEDICAIDMICHIGAN
22348844OTHERMICHIGANNCPDP
3540C707520OTHERMICHIGANBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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