NPI 1144077470
Upper Mattaponi Indian Tribe
Practice location
- Address
- 27 Commerce Ln, King William, VA 23086
- Phone
- (804) 769-2015
Authorised official
- Name
- Steven Tupponce
- Title
- Ceo
- Phone
- (804) 238-9922
Registered specialties (4)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Community/Retail Pharmacy
Compounding Pharmacy
Registry record
- NPI
- 1144077470
- Entity type
- Organization
- NPI issued
- 3 May 2024
- Record last updated
- 22 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.