Mohegan Tribe of Indians of Ct
NPI #1326313677 in Uncasville, Connecticut
Provider Information
- NPI Number
- 1326313677
- Entity Type
- Organization
- Organization Name
- Mohegan Tribe of Indians of Ct
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Mar 20, 2012
- Last Updated
- Jun 18, 2019
Practice Location
- Address
- 67 SANDY DESERT RD
- City
- Uncasville
- State
- Connecticut
- ZIP Code
- 06382-1111
- Phone
- (855) 664-4679
Authorized Official
- Name
- DEBRA MAXEINER
- Title
- DEPUTY CHIEF OF STAFF, OPS&ADMIN
- Phone
- (860) 862-6343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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