Organization · Type 2 NPI

Passamaquoddy Tribal Council

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Pleasant Point, ME

NPI number 1366526188 Active

Practice location

11 Back Rd
Pleasant Point, ME 04667-4119

Call (207) 853-0644 Map

Fax (207) 853-6230

Mailing address

PO Box 351
Perry, ME 04667-0351

Specialties and licenses

Taxonomy	Code	License
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary	332800000X	PH50000192 (ME)

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.

18 other providers at this address

NPI record

NPI: 1366526188
Entity type: Organization (Type 2)
Issued: Oct 25, 2006
Last updated: Apr 8, 2021
Status: Active
Subpart: Yes of Pleasant Point Health Center Pharmacy

Other names

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Pleasant Point Health Center · doing business as

Authorized official

Kirk Altvater
Health Center Director
(207) 853-5010

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366526188

Passamaquoddy Tribal Council's National Provider Identifier is 1366526188, issued on Oct 25, 2006. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Pleasant Point, ME. The record was last updated on Apr 8, 2021.