Wagner Indian Health Care Pharmacy
NPI #1548390115 in Wagner, South Dakota
Provider Information
- NPI Number
- 1548390115
- Entity Type
- Organization
- Organization Name
- Wagner Indian Health Care Pharmacy
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 111 WASHINGTON AVE NW
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380-4300
- Phone
- (605) 384-3621
Authorized Official
- Name
- JAMES CUMMINGS
- 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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