Organization
PASSAMAQUODDY TRIBAL COUNCIL
Active
Parent organization
PLEASANT POINT HEALTH CENTER PHARMACY
Other names
Pleasant Point Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLEASANT POINT HEALTH CENTER PHARMACY
Authorized official
KIRK ALTVATER (HEALTH CENTER DIRECTOR)
(207) 853-5010
Entity
Organization
Contact information
Practice address
11 BACK RD, PLEASANT POINT, ME 04667-4119
(207) 853-0644
(207) 853-6230
Mailing address
PO BOX 351, PERRY, ME 04667-0351
(207) 853-0644
(207) 853-6230
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PH50000192
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107300100
—
ME
Enumeration date
10/25/2006
Last updated
04/08/2021
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