Jicarilla Ihs Pharmacy

Practice location

Address

500 N Mundo Dr, Dulce, NM 87528-5176

Phone

(505) 759-3291

Fax

(505) 759-3532

Mailing address

PO Box 95447, Cleveland, OH 44101-0033

Authorised official

Name

James Cummings

Title

Pharmacy Program Specialist

Phone

(405) 951-6086

Registered specialties

Registry record

NPI

1124220900

Entity type

Organization

NPI issued

4 Jun 2007

Record last updated

2 Mar 2023

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.