Organization · Type 2 NPI

Indian Township Tribal Government

Community/Retail Pharmacy · Princeton, ME

NPI number 1619005493 Active

Practice location

401 Peter Dana Point Road
Princeton, ME 04668-0097

Call (207) 796-2321 Map

Fax (207) 796-2422

Mailing address

PO Box 97, 401 Peter Dana Point Road
Princeton, ME 04668-0097

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH50001209 (ME)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

12 other providers at this address

NPI record

NPI: 1619005493
Entity type: Organization (Type 2)
Issued: Mar 1, 2007
Last updated: Sep 28, 2020
Status: Active
Subpart: Yes of Passamaquoddy Health Center

Other names

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Passamaquoddy Health Center · doing business as

Authorized official

Andrea M Hanson
Compliance Specialist
(207) 796-2321

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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 1619005493

Indian Township Tribal Government's National Provider Identifier is 1619005493, issued on Mar 1, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Princeton, ME. The record was last updated on Sep 28, 2020.