| NPI | 1326313677 |
|---|---|
| Doing Business As | MOHEGAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEBRA MAXEINER Deputy Chief Of Staff, Ops&Admin 860-862-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: AL 114286) |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CT PCY.0001934) |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: KS 22-102271) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: DC NRX0000432) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CO OSP.0006230) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MO 2013044792) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MS 14964/7.1) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: LA PHY.007550-NR) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: GA PHNR001180) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: FL PH26952) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: IL 54.018477) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: MT PHA-MOP-LIC-25328) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: HI PMP-959) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: CA NRP-1530) | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: ME MO40001384) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-06-18 |