NPI 1952323958
Prairie Band Potawatomi Nation
Practice location
- Address
- 11400 158th Rd, Mayetta, KS 66509-8866
- Phone
- (866) 727-6330
- Fax
- (785) 966-8396
- Mailing address
- 11400 158th Rd, Mayetta, KS 66509-0249
Authorised official
- Name
- Mike Carpenter
- Title
- Chief Pharmacist
- Phone
- (785) 966-8266
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1952323958
- Entity type
- Organization
- NPI issued
- 25 Jul 2006
- Record last updated
- 23 Jan 2018
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.