Upper Mattaponi Indian Tribe
NPI #1144077470 in King William, Virginia
Provider Information
- NPI Number
- 1144077470
- Entity Type
- Organization
- Organization Name
- Upper Mattaponi Indian Tribe
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UPPER MATTAPONI INDIAN TRIBE
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- May 3, 2024
- Last Updated
- Jul 22, 2025
Practice Location
- Address
- 27 COMMERCE LN
- City
- King William
- State
- Virginia
- ZIP Code
- 23086
- Phone
- (804) 769-2015
Authorized Official
- Name
- STEVEN TUPPONCE
- Title
- CEO
- Phone
- (804) 238-9922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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