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Organization
TSAILE HEALTH CENTER PHARMACY
Active
Organization
TSAILE HEALTH CENTER PHARMACY
Active
Other names
TSAILE HEALTH CENTER 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
INTERSECTION RT 64 AND 12, TSAILE, AZ 86556
(928) 724-3643
(928) 724-3605
Mailing address
PO BOX 21C, PHARMACY DEPT, TSAILE, AZ 86556
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
05
—
061119
—
AZ
01
—
1991278
PK
—
05
—
61119
—
AZ
Enumeration date
03/28/2007
Last updated
11/09/2015
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