Organization · Type 2 NPI
Mashantucket Pequot Tribal
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mashantucket, CT
Practice location
1 Annie George Drive, Bldg 1
Mashantucket, CT 06338-3801
Fax (800) 779-6329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
| Pharmacy | 333600000X | None listed |
| Mail Order Pharmacy | 3336M0002X | 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.
Other indian health service/tribal/urban indian health (i/t/u) pharmacy providers in Mashantucket
About NPI 1720024524
Mashantucket Pequot Tribal's National Provider Identifier is 1720024524, issued on Jun 21, 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 Mashantucket, CT. The record was last updated on Apr 16, 2025.