Jicarilla Ihs Pharmacy
NPI #1124220900 in Dulce, New Mexico
Provider Information
- NPI Number
- 1124220900
- Entity Type
- Organization
- Organization Name
- Jicarilla Ihs Pharmacy
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Jun 4, 2007
- Last Updated
- Mar 2, 2023
Practice Location
- Address
- 500 N MUNDO DR
- City
- Dulce
- State
- New Mexico
- ZIP Code
- 87528-5176
- Phone
- (505) 759-3291
Authorized Official
- Name
- JAMES CUMMINGS, PHARMD
- Title
- PHARMACY PROGRAM SPECIALIST
- Phone
- (405) 951-6086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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