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Organization
COCHITI IHS PHARMACY
Active
Organization
COCHITI IHS PHARMACY
Active
Other names
COCHITI 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
255 COCHITI ST, COCHITI PUEBLO, NM 87072-9998
(505) 465-2587
(505) 465-1135
Mailing address
SANTA FE INDIAN HOSPITAL, PO BOX 31001-0664, PASADENA, CA 91110-0664
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
—
3210402
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
B3742
—
NM
Enumeration date
03/12/2007
Last updated
02/20/2013
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