Organization
COCHITI IHS PHARMACY
Active
Other names
COCHITI 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
255 COCHITI ST, COCHITI PUEBLO, NM 87072-9998
(505) 465-2587
(505) 465-1135
Mailing address
SANTA FE INDIAN HOSPITAL, PO BOX 31001-0664, PASADENA, CA 91110-0664
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
—
3210402
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
B3742
—
NM
Enumeration date
03/12/2007
Last updated
02/20/2013
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