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Penobscot Indian Nation
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Indian Island, Maine
NPI 1699788356

Penobscot Indian Nation is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Indian Island, ME. Penobscot Indian Nation practices in Indian Island, ME. The NPI Number for Penobscot Indian Nation is 1699788356 and holds a License No. PH50000041 (Maine).

The current practice location address for Penobscot Indian Nation is 23 Wabanaki Way, Indian Island, ME and can be reached out via phone at 207-817-7400 and via fax at 207-817-7452.

Location: 23 Wabanaki Way, Indian Island, ME, 04468-1252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699788356
Provider Name
Penobscot Indian Nation
Credential
Provider Entity Type
Organization
Address
23 Wabanaki Way, Indian Island, ME, 04468-1252
Phone Number
207-817-7400
Fax Number
207-817-7452
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106520200 05 ME
2036350 01 PK
institution
Provider Business Practice Location Address Details
Address
23 Wabanaki Way
City
Indian Island
State
Maine
Zip
04468-1252
Phone Number
207-817-7400
Fax Number
207-817-7452
person
Provider Business Mailing Address Details
Address
23 Wabanaki Way
City
Indian Island
State
Maine
Zip
04468-1252
Phone Number
207-817-7400
Fax Number
207-817-7452
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.
PH50000041 (Maine)
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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