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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