Penobscot Indian Nation
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
23 Wabanaki Way, Indian Island
Maine, 04468-1252
207-817-7400 207-817-7452
Penobscot Indian Nation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Indian Island, Maine. It is located at 23 Wabanaki Way, Indian Island and it's customer support contact number is 207-817-7400. The authorized person of Penobscot Indian Nation is Patricia Knox Nicola who is Director of the pharmacy and his contact number is 207-817-7400. Active license number of Penobscot Indian Nation is PH50000041 for Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Maine.
Penobscot Indian Nation 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.
Pharmacy Details:
Penobscot Indian Nation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Penobscot Indian Nation |
| Type: | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
| Location: | 23 Wabanaki Way, Indian Island,
Maine, 04468-1252 |
| Phone: | 207-817-7400 |
| Fax: | 207-817-7452 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Patricia Knox Nicola |
| Position: | Director |
| Contact Number: | 207-817-7400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1699788356 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 11 Oct, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Penobscot Indian Nation are as mentioned below.
| Specialization | License Number | State | Status | |
| Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy | PH50000041 | Maine | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 106520200 | Medicaid | Maine | |
| 2036350 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 23 Wabanaki Way,
Indian Island, Maine |
| Zip: | 04468-1252 |
| Phone Number: | 207-817-7400 |
| Fax Number: | 207-817-7452 |
Patients can reach Penobscot Indian Nation at
23 Wabanaki Way, Indian Island, Maine or can
call on customer care at 207-817-7400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.