| NPI | 1669786257 |
|---|---|
| Doing Business As | POKAGON BAND HEALTH SERVICES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATT CLAY Director Of Health Services 269-468-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2016-03-16 |