Mohegan Pharmacy

LBN: Mohegan Tribe Of Indians Of Ct
Mohegan Pharmacy is an health care organization with primary practice located at 67 Sandy Desert Rd , Uncasville CT 06382-1111. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Mohegan Tribe Of Indians Of Ct can be contacted via phone (855) 664-4679, or through Maxeiner, Debra via phone (860) 862-6343.

Contact Information

Primary practice address
67 Sandy Desert Rd Uncasville CT 06382-1111
Fax: (860) 862-9099
Website:
Authorized official contact:
Name: Maxeiner, Debra

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PCY.0001934 Connecticut
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 22-102271 Kansas
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NRX0000432 District of Columbia
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X OSP.0006230 Colorado
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 2013044792 Missouri
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 14964/7.1 Mississippi
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHY.007550-NR Louisiana
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHNR001180 Georgia
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PH26952 Florida
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 114286 Alabama
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X 54.018477 Illinois
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHA-MOP-LIC-25328 Montana
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PMP-959 Hawaii
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X NRP-1530 California
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X MO40001384 Maine

Profile Details

NPI number 1326313677
LBN Legal business name Mohegan Tribe Of Indians Of Ct
DBA Doing business as Mohegan Pharmacy
Authorized official Maxeiner, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2012
Last updated Jun 18th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326313677 NPPES
Other 2135247 PK

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