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Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Organization
POKAGON BAND OF POTAWATOMI INDIANS
Active
Other names
Mshkiki Community Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA GATTIES (DIRECTOR)
(269) 462-4403
Entity
Organization
Contact information
Practice address
1986 MALL PL, BENTON HARBOR, MI 49022-2332
(269) 945-5854
(269) 945-5854
Mailing address
1986 MALL PL, BENTON HARBOR, MI 49022-2332
(269) 945-5854
(269) 945-5854
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
01/07/2025
Last updated
05/07/2025
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