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Organization
EAGLE BUTTE IHS HOSPITAL PHARMACY
Active
Organization
EAGLE BUTTE IHS HOSPITAL PHARMACY
Active
Other names
EAGLE BUTTE IHS HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
317 MAIN ST, EAGLE BUTTE, SD 57625
(605) 964-0654
(605) 964-1110
Mailing address
3109 SOLUTIONS CTR, CHICAGO, IL 60677-3001
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
—
4304933
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
5549080
—
SD
Enumeration date
02/27/2007
Last updated
03/07/2013
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