Organization
WINNEBAGO IHS HOSPITAL PHARMACY
Active
Other names
WINNEBAGO IHS 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
US HIGHWAY 77 75, WINNEBAGO, NE 68071
(402) 878-2231
(402) 878-2881
Mailing address
3127 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
—
2815580
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/06/2007
Last updated
03/07/2013
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