Organization
DHHS IHS PHOENIX AREA
Active
Other names
WHITERIVER 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
HIGHWAY 73 MILE POST 342, WHITERIVER, AZ 85941
(928) 338-4911
(928) 338-3510
Mailing address
PO BOX 31001-0708, PASADENA, CA 91110-0708
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
—
092403
—
AZ
01
—
1991069
PK
—
Enumeration date
02/23/2007
Last updated
10/12/2016
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