OrganizationActive
Mohegan Tribe of Indians of Ct
NPI 1326313677 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Uncasville, CT
Provider details
- NPI number
- 1326313677
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Authorized official
- Debra Maxeiner, Deputy Chief of Staff, Ops&admin
- License
- PCY.0001934 (CT)
Practice location
67 Sandy Desert Rd
Uncasville, CT 06382-1111
Phone: (855) 664-4679
Fax: (860) 862-9099
Mailing address
67 Sandy Desert Rd
Uncasville, CT 06382-1111
Registry dates
- Enumerated
- 2012-03-20
- Last updated
- 2019-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.