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Organization
SANTA CLARA IHS PHARMACY
Active
Organization
SANTA CLARA IHS PHARMACY
Active
Other names
SANTA CLARA 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
ROUTE 5, ESPANOLA, NM 87532-9614
(505) 753-9421
(505) 753-5039
Mailing address
PO BOX 31001-0669, PASADENA, CA 91110-0669
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
—
2058722
PK
—
05
—
B3736
—
NM
Enumeration date
03/12/2007
Last updated
09/21/2016
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