Organization
DHHS IHS PHOENIX AREA
Active
Other names
SAN CARLOS 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
238 CIBECUE CIRCLE, SAN CARLOS, AZ 85550
(928) 475-7270
(928) 475-7376
Mailing address
PO BOX 31001-0702, PASADENA, CA 91110-0702
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
—
020553
—
AZ
01
—
0325743
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/22/2007
Last updated
03/05/2013
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