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Organization
DHHS IHS PHOENIX AREA
Active
Organization
DHHS IHS PHOENIX AREA
Active
Other names
BYLAS IHS 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
101 MEDICAL DRIVE, BYLAS, AZ 85530
(928) 475-7142
(928) 475-7377
Mailing address
PHS SAN CARLOS, PO BOX 31001-0702, PASADENA, CA 91110-0702
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0325755
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
163931
—
AZ
Enumeration date
02/23/2007
Last updated
03/05/2013
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