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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