Organization · Type 2 NPI
Upper Mattaponi Indian Tribe
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · King William, VA
Practice location
27 Commerce Ln
King William, VA 23086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
| Clinic Pharmacy | 3336C0002X | None listed |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Compounding Pharmacy | 3336C0004X | None listed |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: 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.
Another provider at this address
About NPI 1144077470
Upper Mattaponi Indian Tribe's National Provider Identifier is 1144077470, issued on May 3, 2024. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in King William, VA. The record was last updated on Jul 22, 2025.