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Organization

DHHS IHS PHOENIX AREA

Active
Other names
CIBECUE 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
2 WEST 3RD ST, CIBECUE, AZ 85911
(928) 332-2560
(928) 332-2525
Mailing address
PHS WHITERIVER, PO BOX 31001-0708, PASADENA, CA 91110-0708

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
1991067
PK
Enumeration date
02/22/2007
Last updated
11/02/2016
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