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Organization
MESCALERO IHS PHARMACY
Active
Organization
MESCALERO IHS PHARMACY
Active
Other names
MESCALERO INDIAN HOSPITAL 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
318 ABALONIE LOOP, MESCALERO, NM 88340
(575) 464-3844
(505) 464-4422
Mailing address
MESCALERO PHS INDIAN HOSPITAL, PO BOX 31001-0660, PASADENA, CA 91110-0660
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
5316
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210250
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
H2347
—
NM
Enumeration date
02/16/2007
Last updated
03/05/2013
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