| NPI | 1053432195 |
|---|---|
| Doing Business As | ST REGIS MOHAWK HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | DEBORAH TERRANCE Health Director 518-358-3141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: NY 028067) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-06-25 |