UPPER MATTAPONI INDIAN TRIBE

KING WILLIAM, VA
NPI1144077470
Doing Business AsUMT PHARMACY
Entity TypeOrganization
Authorized ContactSTEVEN TUPPONCE
CEO
804-238-9922
Organization Subpart ?Yes
Primary Taxonomy332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Additional Taxonomies3336C0002X Pharmacy, Clinic Pharmacy
3336C0003X Pharmacy, Community/Retail Pharmacy
3336C0004X Pharmacy, Compounding Pharmacy
Enumeration Date2024-05-03
Last Update Date2025-07-22
Business Address
UPPER MATTAPONI INDIAN TRIBE
27 COMMERCE LN
KING WILLIAM, VA 23086
Phone number: 804-769-2015
Mailing Address
UPPER MATTAPONI INDIAN TRIBE
27 COMMERCE LN
KING WILLIAM, VA 23086
Phone number: