Organization
DHHS IHS PHOENIX AREA
Active
Other names
PEACH SPRINGS HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization
Contact information
Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2994
(928) 769-1336
Mailing address
PO BOX 31001-0700, PASADENA, CA 91110-0700
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
—
156572
—
AZ
01
—
1990678
PK
—
Enumeration date
02/23/2007
Last updated
10/12/2016
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