NPI | 1760536007 |
---|---|
Doing Business As | LAC VIEUX DESERT HEALTH CENTER AND PHARMACY |
Entity Type | Organization |
Authorized Contact | SADIE VALLIERE Health Director 906-358-4587 |
Organization Subpart ? | No |
Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301006253) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-05-18 |