Mashantucket Pequot Tribal
Mashantucket Pequot Tribal is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Mashantucket, Connecticut. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
1 Annie George Dr Bldg 1Mashantucket, CT 06338-3801
Phone: (860) 396-6435
Fax: (800) 779-6329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Mail Order Pharmacy | Taxonomy 3336M0002X |
Record details
| NPI number | 1720024524 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Mashantucket Pequot Tribal |
| Authorized official | John Grossomanides — Director Of Pharmacy Services · (860) 396-6435 |
| Other names | Pequot Health Care |
| NPI enumerated | June 21, 2006 |
| Last updated in NPPES | April 16, 2025 |
| Mailing address | 1 Annie George Drive, Bldg 1, Mashantucket, CT 06338-3801 |
Other providers in Mashantucket
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Mashantucket Pequot Tribal
1 Annie George Dr, Mashantucket, CT 06338-3801 · (860) 396-6438