1720024524 MASHANTUCKET PEQUOT TRIBAL
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Active
Basic Information
- Organization Name
- MASHANTUCKET PEQUOT TRIBAL
- Enumeration Date
- June 21, 2006
- Last Update
- April 16, 2025
- Authorized Official
- DR. JOHN GROSSOMANIDES PHARMD, RPH
DIRECTOR OF PHARMACY SERVICES
Phone: (860) 396-6435
Practice Location
- Address
- 1 ANNIE GEORGE DRIVE
BLDG 1
MASHANTUCKET, CT 063383801 - Phone
- (860) 396-6435
- Fax
- (800) 779-6329
Mailing Address
- Address
- 1 ANNIE GEORGE DRIVE
BLDG 1
MASHANTUCKET, CT 063383801 - Phone
- (860) 396-6435
- Fax
- (860) 396-6212
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Mail Order Pharmacy Mail Order Pharmacy | 3336M0002X | 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 | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004129210 | 05 | CT | N/A |
| 2000351 | 01 | N/A | PK |
Frequently Asked Questions
What is MASHANTUCKET PEQUOT TRIBAL's NPI number?
MASHANTUCKET PEQUOT TRIBAL's NPI number is 1720024524.
Which doctor has NPI number 1720024524?
The doctor with NPI number 1720024524 is MASHANTUCKET PEQUOT TRIBAL.
What is MASHANTUCKET PEQUOT TRIBAL's practice address?
MASHANTUCKET PEQUOT TRIBAL's practice address is 1 ANNIE GEORGE DRIVE, BLDG 1, MASHANTUCKET, CT, 063383801.
Which doctor practices at 1 ANNIE GEORGE DRIVE, BLDG 1, MASHANTUCKET, CT, 063383801?
MASHANTUCKET PEQUOT TRIBAL practices at 1 ANNIE GEORGE DRIVE, BLDG 1, MASHANTUCKET, CT, 063383801.
What is MASHANTUCKET PEQUOT TRIBAL's phone number?
MASHANTUCKET PEQUOT TRIBAL's phone number is (860) 396-6435.
Who is (860) 396-6435?
(860) 396-6435 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) 396-6435 to inquire about availability.
Is NPI 1720024524 still active?
Yes, NPI 1720024524 is currently active.
Where does MASHANTUCKET PEQUOT TRIBAL practice?
MASHANTUCKET PEQUOT TRIBAL practices in MASHANTUCKET, CT.