Individual
MRS. CAROL ROSE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
INTERSTATE 40 EXIT 102, SAN FIDEL, NM 87049
(505) 552-5457
Mailing address
P.O. BOX 1209, 1270 KOTNUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-1347
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
4513
MT
Other
Enumeration date
04/03/2007
Last updated
04/16/2015
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