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Organization
FORT THOMPSON IHC CLINIC PHARMACY
Active
Organization
FORT THOMPSON IHC CLINIC PHARMACY
Active
Other names
FORT THOMPSON IHC CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
HWY 47 AND HWY 34, FORT THOMPSON, SD 57339
(605) 245-1545
(605) 245-2384
Mailing address
3098 SOLUTIONS CTR, CHICAGO, IL 60677-3001
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304793
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
5549010
—
SD
Enumeration date
03/05/2007
Last updated
03/07/2013
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