Organization
KYLE IHS CLINIC PHARMACY
Active
Other names
KYLE IHS CLINIC 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
1000 HEALTH CENTER CIRCLE, KYLE, SD 57752
(605) 455-8225
(605) 455-2808
Mailing address
3103 SOLUTIONS CTR, CHICAGO, IL 60677-3001
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
—
4304945
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/05/2007
Last updated
03/07/2013
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