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Organization
DHHS IHS PHOENIX AREA
Active
Organization
DHHS IHS PHOENIX AREA
Active
Other names
PARKER INDIAN HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
PO BOX 31001-0699, PASADENA, CA 91110-0699
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
AZS05857
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02053701
—
AZ
01
—
0324525
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/21/2007
Last updated
02/20/2013
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