Bay Mills Pharmacy

LBN: Bay Mills Indian Community
Bay Mills Pharmacy is an health care organization with primary practice located at 12455 W Lakeshore Dr , Brimley MI 49715-9327. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bay Mills Indian Community can be contacted via phone (906) 248-2031, or through Breakie, Audrey via phone (906) 248-8327.

Contact Information

Primary practice address
12455 W Lakeshore Dr Brimley MI 49715-9327
Phone: (906) 248-2031
Fax: (906) 248-8366
Website:
Map and Directions
Authorized official contact:
Name: Breakie, Audrey
Phone: (906) 248-8327

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1316904337
LBN Legal business name Bay Mills Indian Community
DBA Doing business as Bay Mills Pharmacy
Authorized official Breakie, Audrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316904337 NPPES
Michigan MEDICAID 2362438
Michigan Other 2362438
Michigan MEDICAID 874998658

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