Penobscot Indian Nation

NPI #1699788356 in Indian Island, Maine

Provider Information

NPI Number
1699788356
Entity Type
Organization
Organization Name
Penobscot Indian Nation
Primary Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date
Aug 14, 2006
Last Updated
Oct 11, 2016

Practice Location

Address
23 WABANAKI WAY
State
Maine
ZIP Code
04468-1252
Phone
(207) 817-7400

Authorized Official

Name
PATRICIA KNOX NICOLA
Title
DIRECTOR
Phone
(207) 817-7400

Specialties & Taxonomy Codes

Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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