NPI 1790594349
Pokagon Band of Potawatomi Indians
Practice location
- Address
- 1986 Mall Pl, Benton Harbor, MI 49022-2332
- Phone
- (269) 945-5854
- Fax
- (269) 945-5854
Authorised official
- Name
- Priscilla Gatties
- Title
- Director
- Phone
- (269) 462-4403
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Clinic Pharmacy
Registry record
- NPI
- 1790594349
- Entity type
- Organization
- NPI issued
- 7 Jan 2025
- Record last updated
- 7 May 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.