Organization
TSAILE HEALTH CENTER PHARMACY
Active
Other names
TSAILE HEALTH CENTER 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
INTERSECTION RT 64 AND 12, TSAILE, AZ 86556
(928) 724-3643
(928) 724-3605
Mailing address
PO BOX 21C, PHARMACY DEPT, TSAILE, AZ 86556
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
—
061119
—
AZ
01
—
1991278
PK
—
05
—
61119
—
AZ
Enumeration date
03/28/2007
Last updated
11/09/2015
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