POKAGON BAND OF POTAWATOMI INDIANS is an indian health service tribal urban indian health i t u pharmacy in Dowagiac, MI. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. POKAGON BAND OF POTAWATOMI INDIANS NPI is 1669786257. The provider is registered as an organization entity type.
The provider Is Doing Business As Pokagon Band Health Services Pharmacy.
The provider's business location address is:
32652 KNO DR
DOWAGIAC, MI
ZIP 49047
Phone: (269) 782-4570
Fax: (269) 782-2996
The provider's authorized official is Matt Clay .
The authorized official title is Director Of Health Services and has the following contact phone number (269) 468-4250.
The CLIA number assigned to this NPI record is 23D0988592 - other - indian health facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/6/2010 and was last updated on 3/16/2016.