Organization
MESCALERO IHS PHARMACY
Active
Other names
MESCALERO INDIAN HOSPITAL 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
318 ABALONIE LOOP, MESCALERO, NM 88340
(575) 464-3844
(505) 464-4422
Mailing address
MESCALERO PHS INDIAN HOSPITAL, PO BOX 31001-0660, PASADENA, CA 91110-0660
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
5316
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3210250
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
H2347
—
NM
Enumeration date
02/16/2007
Last updated
03/05/2013
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