| NPI | 1699788356 |
|---|---|
| Doing Business As | PENOBSCOT NATION HEALTH DEPARTMNT |
| Entity Type | Organization |
| Authorized Contact | PATRICIA KNOX NICOLA Director 207-817-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: ME PH50000041) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-10-11 |