OrganizationActive
Penobscot Indian Nation
NPI 1699788356 · Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Indian Island, ME
Provider details
- NPI number
- 1699788356
- Entity type
- Organization
- Primary specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Patricia Knox Nicola, Director(207) 817-7400
- License
- PH50000041 (ME)
Specialties & taxonomies
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPrimary332800000XLicense PH50000041 (ME)
Suppliers
Practice location
23 Wabanaki Way
Indian Island, ME 04468-1252
Phone: (207) 817-7400
Fax: (207) 817-7452
Approximate (ZIP-level) locationGet directions
Mailing address
23 Wabanaki Way
Indian Island, ME 04468-1252
Other names (DBA / former)
- Doing business as
- Penobscot Nation Health Departmnt
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2016-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.