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Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Other names
Pokagon Band Health Services Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA GATTIES (DIRECTOR)
(269) 462-4403
Entity
Organization
Contact information
Practice address
32652 KNO DR, DOWAGIAC, MI 49047
(269) 782-4570
(269) 782-2996
Mailing address
32652 KNO DR, DOWAGIAC, MI 49047
(269) 782-4570
(269) 782-2996
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126168
PK
—
Enumeration date
08/06/2010
Last updated
01/07/2025
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