Organization
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Active
Parent organization
PASSAMAQUODDY HEALTH CENTER
Other names
PASSAMAQUODDY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASSAMAQUODDY HEALTH CENTER
Authorized official
ANDREA M HANSON (COMPLIANCE SPECIALIST)
(207) 796-2321
Entity
Organization
Contact information
Practice address
401 PETER DANA POINT ROAD, PRINCETON, ME 04668-0097
(207) 796-2321
(207) 796-2422
Mailing address
PO BOX 97, 401 PETER DANA POINT ROAD, PRINCETON, ME 04668-0097
(207) 796-2321
(207) 796-2422
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001209
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107940100
—
ME
01
—
200544
NABP
ME
Enumeration date
03/01/2007
Last updated
09/28/2020
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