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Organization

DHHS IHS PHOENIX AREA

Active
Other names
PARKER INDIAN HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES CUMMINGS PHARMD (PHARMACY PROGRAM SPECIALIST)
(405) 951-6086
Entity
Organization

Contact information

Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-2137
(928) 669-3131
Mailing address
PO BOX 31001-0699, PASADENA, CA 91110-0699

Taxonomy

Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
AZS05857
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02053701
AZ
01
0324525
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/21/2007
Last updated
02/20/2013
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