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Mohegan Tribe Of Indians Of Ct
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Uncasville, Connecticut
NPI 1326313677

Mohegan Tribe Of Indians Of Ct is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Uncasville, CT. Mohegan Tribe Of Indians Of Ct practices in Uncasville, CT. The NPI Number for Mohegan Tribe Of Indians Of Ct is 1326313677 and holds a License No. PCY.0001934 (Connecticut).

The current practice location address for Mohegan Tribe Of Indians Of Ct is 67 Sandy Desert Rd, Uncasville, CT and can be reached out via phone at 855-664-4679 and via fax at 860-862-9099.

Location: 67 Sandy Desert Rd, Uncasville, CT, 06382-1111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326313677
Provider Name
Mohegan Tribe Of Indians Of Ct
Credential
Provider Entity Type
Organization
Address
67 Sandy Desert Rd, Uncasville, CT, 06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099
Provider Enumeration Date
03/20/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2135247 01 PK
institution
Provider Business Practice Location Address Details
Address
67 Sandy Desert Rd
City
Uncasville
State
Connecticut
Zip
06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099
person
Provider Business Mailing Address Details
Address
67 Sandy Desert Rd
City
Uncasville
State
Connecticut
Zip
06382-1111
Phone Number
855-664-4679
Fax Number
860-862-9099
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.
PCY.0001934 (Connecticut)
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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