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A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community/Retail Pharmacy |
3336C0003X | 58 | Medical Supply Company with Pharmacist | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
332800000X | 87 | All Other Suppliers |
| NPI Number | 1528796851 |
| LBN Legal business name | LITTLE RIVER BAND OF OTTAWA INDIANS |
| Authorized official | KEITH JACQUE - (CHIEF PHARMACIST) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 08/14/2022 |
| Last updated | 05/02/2023 - About 3 years ago |
| Identifiers | n/a |
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LITTLE RIVER BAND OF OTTAWA INDIANS
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LITTLE RIVER BAND OF OTTAWA INDIANS