NPI 1023143609
Dhhs Ihs Phoenix Area
Practice location
- Address
- 238 Cibecue Circle, San Carlos, AZ 85550
- Phone
- (928) 475-7270
- Fax
- (928) 475-7376
- Mailing address
- PO Box 31001-0702, Pasadena, CA 91110-0702
Authorised official
- Name
- James Cummings
- Title
- Pharmacy Program Specialist
- Phone
- (405) 951-6086
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1023143609
- Entity type
- Organization
- NPI issued
- 22 Feb 2007
- Record last updated
- 5 Mar 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.