1578886461 MASHANTUCKET PEQUOT TRIBAL
Mail Order Pharmacy
Active
Basic Information
- Organization Name
- MASHANTUCKET PEQUOT TRIBAL
- Enumeration Date
- March 5, 2010
- Last Update
- April 1, 2011
- Authorized Official
- EDWARD MOLDENHAUER
DIRECTOR OF PHARMACY OPERATION
Phone: (860) 396-2058
Practice Location
- Address
- 1 ANNIE GEORGE DR
BLDG 1
MASHANTUCKET, CT 063383801 - Phone
- (860) 396-6438
- Fax
- (800) 779-6329
Mailing Address
- Address
- 1 ANNIE GEORGE DR
PO BOX 3559
MASHANTUCKET, CT 063383801 - Phone
- (860) 396-2058
- Fax
- (860) 396-6212
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Mail Order Pharmacy Mail Order Pharmacy | 3336M0002X | Pharmacy | 285960015 | CT | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0721820 | 01 | N/A | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 004129210 | 05 | CT | N/A |
Frequently Asked Questions
What is MASHANTUCKET PEQUOT TRIBAL's NPI number?
MASHANTUCKET PEQUOT TRIBAL's NPI number is 1578886461.
Which doctor has NPI number 1578886461?
The doctor with NPI number 1578886461 is MASHANTUCKET PEQUOT TRIBAL.
What is MASHANTUCKET PEQUOT TRIBAL's practice address?
MASHANTUCKET PEQUOT TRIBAL's practice address is 1 ANNIE GEORGE DR, BLDG 1, MASHANTUCKET, CT, 063383801.
Which doctor practices at 1 ANNIE GEORGE DR, BLDG 1, MASHANTUCKET, CT, 063383801?
MASHANTUCKET PEQUOT TRIBAL practices at 1 ANNIE GEORGE DR, BLDG 1, 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 Mail Order Pharmacy.
What type of doctor is MASHANTUCKET PEQUOT TRIBAL?
MASHANTUCKET PEQUOT TRIBAL is a Mail Order Pharmacy.
Is MASHANTUCKET PEQUOT TRIBAL a Mail Order Pharmacy?
Yes, MASHANTUCKET PEQUOT TRIBAL is a Mail Order 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 1578886461 still active?
Yes, NPI 1578886461 is currently active.
Where does MASHANTUCKET PEQUOT TRIBAL practice?
MASHANTUCKET PEQUOT TRIBAL practices in MASHANTUCKET, CT.