UPPER MATTAPONI INDIAN TRIBE

KING WILLIAM, VA
NPI1144077470
Doing Business AsUMT PHARMACY
Entity TypeOrganization
Authorized ContactSTEVEN TUPPONCE
Director, Health Services
804-769-2015
Organization Subpart ?Yes
Primary Taxonomy332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Additional Taxonomies3336C0003X Pharmacy, Community/Retail Pharmacy
3336C0004X Pharmacy, Compounding Pharmacy
Enumeration Date2024-05-03
Last Update Date2024-06-27
Business Address
UPPER MATTAPONI INDIAN TRIBE
27 COMMERCE LANE
KING WILLIAM, VA 23086
Phone number: 804-769-2015
Mailing Address
UPPER MATTAPONI INDIAN TRIBE
7864 RICHMOND - TAPPAHANNOCK HIGHWAY
AYLETT, VA 23009
Phone number: