Mashantucket Pequot Tribal
Mashantucket Pequot Tribal is a Mail Order Pharmacy in Mashantucket, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.
- Licensed in
- CT
- In the registry since
- 2010
Practice location Address checks out
1 Annie George Dr Bldg 1Mashantucket, CT 06338-3801
Phone: (860) 396-6438
Fax: (800) 779-6329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mail Order Pharmacy (primary) | Taxonomy 3336M0002X · Licence 285960015 (CT) |
|---|
Record details
| NPI number | 1578886461 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Moldenhauer — Director Of Pharmacy Operation · (860) 396-2058 |
| Other names | Pequot Health Care |
| NPI enumerated | March 5, 2010 |
| Last updated in NPPES | April 1, 2011 |
| Mailing address | 1 Annie George Dr, Po Box 3559, Mashantucket, CT 06338-3801 |