National Provider Identifier Database

INDIAN TOWNSHIP TRIBAL GOVERNMENT
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

INDIAN TOWNSHIP TRIBAL GOVERNMENT
401 PETER DANA POINT ROAD
PRINCETON, ME04668-0097
Phone: 207-796-2321
Fax: 207-796-2422
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for INDIAN TOWNSHIP TRIBAL GOVERNMENT

NPI Number 1619005493
Legal business name
LBN
INDIAN TOWNSHIP TRIBAL GOVERNMENT
Authorized official ANDREA HANSON - (COMPLIANCE SPECIALIST)
Entity Organization
Organization subpart Yes
Enumeration date 03/01/2007
Last updated 09/28/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: PH50001209
  • ME Medicaid: 107940100
  • ME Other: 200544 NABP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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