1003036435 MASHANTUCKET PEQUOT TRIBAL
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Active
Basic Information
- Organization Name
- MASHANTUCKET PEQUOT TRIBAL
- Enumeration Date
- April 26, 2007
- Last Update
- April 1, 2011
- Authorized Official
- EDWARD MOLDENHAUER MS BS PHARM
DIRECTOR OF PHARMACY OPERATION
Phone: (860) 396-2058
Practice Location
- Address
- 1 ANNIE GEORGE DR
MASHANTUCKET, CT 063383801 - Phone
- (860) 396-6438
- Fax
- (866) 396-6212
Mailing Address
- Address
- 1 ANNIE GEORGE DR
PO BOX 3559
MASHANTUCKET, CT 063383801 - Phone
- (860) 369-2058
- Fax
- (860) 396-6212
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mail Order Pharmacy Mail Order Pharmacy | 3336M0002X | Pharmacy | N/A | N/A | No |
| Managed Care Organization Pharmacy Managed Care Organization Pharmacy | 3336M0003X | Pharmacy | N/A | N/A | No |
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | ISH285960015 | CT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004129210 | 05 | CT | N/A |
| 0718619 | 01 | N/A | NCPDP PROVIDER IDENTIFICATION NUMBER |
Frequently Asked Questions
What is MASHANTUCKET PEQUOT TRIBAL's NPI number?
MASHANTUCKET PEQUOT TRIBAL's NPI number is 1003036435.
Which doctor has NPI number 1003036435?
The doctor with NPI number 1003036435 is MASHANTUCKET PEQUOT TRIBAL.
What is MASHANTUCKET PEQUOT TRIBAL's practice address?
MASHANTUCKET PEQUOT TRIBAL's practice address is 1 ANNIE GEORGE DR, MASHANTUCKET, CT, 063383801.
Which doctor practices at 1 ANNIE GEORGE DR, MASHANTUCKET, CT, 063383801?
MASHANTUCKET PEQUOT TRIBAL practices at 1 ANNIE GEORGE DR, MASHANTUCKET, CT, 063383801.
What is MASHANTUCKET PEQUOT TRIBAL's phone number?
MASHANTUCKET PEQUOT TRIBAL's phone number is (860) 396-6438.
Who is (860) 396-6438?
(860) 396-6438 is the phone number for MASHANTUCKET PEQUOT TRIBAL.
What is MASHANTUCKET PEQUOT TRIBAL's specialty?
MASHANTUCKET PEQUOT TRIBAL's specialty is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy.
What type of doctor is MASHANTUCKET PEQUOT TRIBAL?
MASHANTUCKET PEQUOT TRIBAL is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy.
Is MASHANTUCKET PEQUOT TRIBAL a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy?
Yes, MASHANTUCKET PEQUOT TRIBAL is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy.
Is MASHANTUCKET PEQUOT TRIBAL still practicing?
Yes, MASHANTUCKET PEQUOT TRIBAL is currently practicing.
Is MASHANTUCKET PEQUOT TRIBAL accepting new patients?
MASHANTUCKET PEQUOT TRIBAL may be accepting new patients. Please call their office at (860) 396-6438 to inquire about availability.
Is NPI 1003036435 still active?
Yes, NPI 1003036435 is currently active.
Where does MASHANTUCKET PEQUOT TRIBAL practice?
MASHANTUCKET PEQUOT TRIBAL practices in MASHANTUCKET, CT.