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St Regis Mohawk Tribe
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Hogansburg, New York
NPI 1053432195

St Regis Mohawk Tribe is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Hogansburg, NY. St Regis Mohawk Tribe practices in Hogansburg, NY. The NPI Number for St Regis Mohawk Tribe is 1053432195 and holds a License No. 028067 (New York).

The current practice location address for St Regis Mohawk Tribe is 404 State Route 37, Hogansburg, NY and can be reached out via phone at 518-358-3141 and via fax at 518-358-9175.

Location: 404 State Route 37, Hogansburg, NY, 13655-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053432195
Provider Name
St Regis Mohawk Tribe
Credential
Provider Entity Type
Organization
Address
404 State Route 37, Hogansburg, NY, 13655-3109
Phone Number
518-358-3141
Fax Number
518-358-9175
Provider Enumeration Date
04/03/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
3304057 01 NY NCPDP
028067 01 NY REGISTRATION NUMBER
institution
Provider Business Practice Location Address Details
Address
404 State Route 37
City
Hogansburg
State
New York
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-9175
person
Provider Business Mailing Address Details
Address
404 State Route 37
City
Hogansburg
State
New York
Zip
13655-3109
Phone Number
518-358-3141
Fax Number
518-358-9175
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
028067 (New York)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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