Organization · Type 2 NPI

Prairie Band Potawatomi Nation

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Mayetta, KS

NPI number 1952323958 Active

Practice location

11400 158th Rd
Mayetta, KS 66509-8866

Call (866) 727-6330 Map

Fax (785) 966-8396

Specialties and licenses

TaxonomyCodeLicense
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary 332800000X2-2546 (KS)

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.

20 other providers at this address

About NPI 1952323958

Prairie Band Potawatomi Nation's National Provider Identifier is 1952323958, issued on Jul 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 Mayetta, KS. The record was last updated on Jan 23, 2018.