Whalio Doctors

NPI 1326313677

Mohegan Tribe of Indians of CT

Organisation Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Uncasville, CT

Practice location

Address
67 Sandy Desert Rd, Uncasville, CT 06382-1111
Phone
(855) 664-4679
Fax
(860) 862-9099

Authorised official

Name
Debra Maxeiner
Title
Deputy Chief of Staff, Ops&admin
Phone
(860) 862-6343

Registered specialties (15)

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary
Suppliers Taxonomy 332800000X Licence 114286 (AL)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PCY.0001934 (CT)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence 22-102271 (KS)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence NRX0000432 (DC)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence OSP.0006230 (CO)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence 2013044792 (MO)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence 14964/7.1 (MS)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PHY.007550-NR (LA)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PHNR001180 (GA)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PH26952 (FL)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence 54.018477 (IL)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PHA-MOP-LIC-25328 (MT)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence PMP-959 (HI)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence NRP-1530 (CA)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Suppliers Taxonomy 332800000X Licence MO40001384 (ME)

Registry record

NPI
1326313677
Entity type
Organization
NPI issued
20 Mar 2012
Record last updated
18 Jun 2019

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.