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Organization

DHHS IHS PHOENIX AREA

Active
Other names
BYLAS 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
101 MEDICAL DRIVE, BYLAS, AZ 85530
(928) 475-7142
(928) 475-7377
Mailing address
PHS SAN CARLOS, 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
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0325755
NCPDP PROVIDER IDENTIFICATION NUMBER
05
163931
AZ
Enumeration date
02/23/2007
Last updated
03/05/2013
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