Little Traverse Bay Bands Of Odawa Indians
Community/Retail Pharmacy
2390 Mitchell Park Dr Ste D, Petoskey
Michigan, 49770-8965
231-242-1760 Little Traverse Bay Bands Of Odawa Indians is a Community/Retail Pharmacy in Petoskey, Michigan. This organization is also known as sub part of Little Traverse Bay Bands Of Odawa Indians. It is located at 2390 Mitchell Park Dr Ste D, Petoskey and it's customer support contact number is 231-242-1760. The authorized person of Little Traverse Bay Bands Of Odawa Indians is Dr. Frank Animikwam, MD who is Medical Director of the pharmacy and his contact number is 231-242-1700.
Little Traverse Bay Bands Of Odawa Indians is 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.
Pharmacy Details:
Little Traverse Bay Bands Of Odawa Indians type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Little Traverse Bay Bands Of Odawa Indians |
| Type: | Community/Retail Pharmacy |
| Location: | 2390 Mitchell Park Dr Ste D, Petoskey,
Michigan, 49770-8965 |
| Phone: | 231-242-1760 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Frank Animikwam |
| Credentials: | MD |
| Position: | Medical Director |
| Contact Number: | 231-242-1700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689387821 |
| Parent Organization: | Little Traverse Bay Bands Of Odawa Indians |
| NPI Enumeration Date: | 03 Jan, 2023 |
| NPI Last Update On: | 23 May, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Little Traverse Bay Bands Of Odawa Indians are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1588108260 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2390 Mitchell Park Dr Ste D,
Petoskey, Michigan |
| Zip: | 49770-8965 |
| Phone Number: | -- |
Patients can reach Little Traverse Bay Bands Of Odawa Indians at
2390 Mitchell Park Dr Ste D, Petoskey, Michigan or can
call on customer care at 231-242-1760.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.