Organization
SANTA CLARA IHS PHARMACY
Active
Other names
SANTA CLARA IHS 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
ROUTE 5, ESPANOLA, NM 87532-9614
(505) 753-9421
(505) 753-5039
Mailing address
PO BOX 31001-0669, PASADENA, CA 91110-0669
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
—
2058722
PK
—
05
—
B3736
—
NM
Enumeration date
03/12/2007
Last updated
09/21/2016
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