Organization
LOWER BRULE IHS CLINIC PHARMACY
Active
Other names
LOWER BRULE IHS CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
1 CLINIC BLVD, LOWER BRULE, SD 57548
(605) 473-8226
(605) 473-0607
Mailing address
3107 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
—
4304882
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
5549020
—
SD
Enumeration date
03/05/2007
Last updated
03/07/2013
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